Individual
SARAH L KNIEVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1712 SYCAMORE AVE, KINGMAN, AZ 86409-0927
(928) 681-8570
(928) 681-8569
Mailing address
1712 SYCAMORE AVE, KINGMAN, AZ 86409-0927
(928) 681-8570
(928) 681-8569
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
50035
MN
208VP0000X
Pain Medicine Physician
Primary
0101250155
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
833172000
—
MN
Enumeration date
06/04/2007
Last updated
12/18/2012
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