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NPI Code Detail

MEDICARE: AMARIS IRINA MCKNIGHT MD

MEDICARE: AMARIS IRINA MCKNIGHT MD
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 Physician4301097847MI
2207Q00000XFamily Medicine Physician0101255606VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10101255606OTHERVAFAMILY PRACTICE
24301097847OTHERMIST LIC

General Provider Information

NPI Number : 1275830796
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMARIS IRINA MCKNIGHT MD
Provider Business Mailing Address
First Line : 111 WASHINGTON ST
Second Line :
City : WILLIAMSBURG
State : VA
Zip : 23185-4383
Country : US
Telephone Number : 804-485-0774
Fax Number :
Provider Business Practice Location Address
First Line : 12997 WARWICK BLVD
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23602-8352
Country : US
Telephone Number : 804-485-0774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2011
Last Update Date : 12/08/2025

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