MEDICARE: DR. VICTOR KEITH KNUTZEN MD, FACS, FACOG.

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	207V00000X	Obstetrics & Gynecology Physician	76081	AZ
2	207Q00000X	Family Medicine Physician	8132	HI
3	207Q00000X	Family Medicine Physician	C40145	CA
4	207Q00000X	Family Medicine Physician	76081	AZ
5	207V00000X	Obstetrics & Gynecology Physician	C40145	CA
6	207V00000X	Obstetrics & Gynecology Physician	3703	NV
7	207Q00000X	Family Medicine Physician	3703	NV
8	207V00000X	Obstetrics & Gynecology Physician	102958	GA

General Provider Information

NPI Number	:	1255679320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTOR KEITH KNUTZEN MD, FACS, FACOG.

Provider Business Mailing Address
First Line	:	3334 BROOKFIELD DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-1962
Country	:	US
Telephone Number	:	775-742-4203
Fax Number	:

Provider Business Practice Location Address
First Line	:	313 PILOT RD STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-3524
Country	:	US
Telephone Number	:	725-204-8972
Fax Number	:	725-204-9612

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

Provider Enumeration Date	:	01/24/2013
Last Update Date	:	10/20/2025

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