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NPI Code Detail

MEDICARE: DOUGLAS B KNOX M.D.

MEDICARE:   DOUGLAS B KNOX  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician106993MO
2207Q00000XFamily Medicine Physician04-24159KS

General Provider Information

NPI Number : 1043212293
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS B KNOX M.D.
Provider Business Mailing Address
First Line : 12105 REINHARDT LN
Second Line :
City : LEAWOOD
State : KS
Zip : 66209-2113
Country : US
Telephone Number : 913-696-0835
Fax Number :
Provider Business Practice Location Address
First Line : 8929 PARALLEL PKWY
Second Line :
City : KANSAS CITY
State : KS
Zip : 66112-1689
Country : US
Telephone Number : 913-596-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 04/10/2025

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Directions to “ DOUGLAS B KNOX M.D.” Practice Location

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