Individual
KELLY KNAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 664-7049
(703) 664-7402
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2358
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G5258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1320517-02
—
TX
05
—
132051709
—
TX
05
—
13205179
—
VA
05
—
1922033950
—
VA
01
—
8AT718
BCBS
TX
Enumeration date
07/11/2006
Last updated
03/26/2015
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