Individual
KANISHA M MCKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 Q D DILLON RD, TYLERTOWN, MS 39667-5301
(601) 814-0757
Mailing address
40 Q D DILLON RD, TYLERTOWN, MS 39667-5301
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2026000497
MS
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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