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1255494332

NPI Code Detail

MEDICARE: AUBREY LEE KNIGHT M.D.

MEDICARE: AUBREY LEE KNIGHT 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
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	D0035281	MD
2	207Q00000X	Family Medicine Physician	0101035672	VA
3	207QG0300X	Geriatric Medicine (Family Medicine) Physician	0101035672	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MC10074	OTHER	VA	MEDICARE PTAN
3	VV8414A	OTHER	VA	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255494332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUBREY LEE KNIGHT M.D.

Provider Business Mailing Address
First Line	:	213 S JEFFERSON ST STE 1006
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24011-1713
Country	:	US
Telephone Number	:	540-224-5516
Fax Number	:

Provider Business Practice Location Address
First Line	:	4434 ELECTRIC RD
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24018-0722
Country	:	US
Telephone Number	:	540-527-4800
Fax Number	:	540-772-3239

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	05/28/2026

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Directions to “ AUBREY LEE KNIGHT M.D.” Practice Location

Language	Start Address	Practice Location

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