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NPI Code Detail

MEDICARE: MEGAN KNOX CPM, LD

MEDICARE: MEGAN KNOX CPM, LD
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
1176B00000XMidwife10177867OR

General Provider Information

NPI Number : 1134672256
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN KNOX CPM, LD
Provider Business Mailing Address
First Line : 1803 MAIN ST
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-2636
Country : US
Telephone Number : 541-205-6262
Fax Number :
Provider Business Practice Location Address
First Line : 1803 MAIN ST
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-2636
Country : US
Telephone Number : 541-205-6262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2016
Last Update Date : 07/25/2016

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Directions to “ MEGAN KNOX CPM, LD” Practice Location

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