MEDICARE: YVONNE KNIGHT 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
1	207N00000X	Dermatology Physician	010132257	VA

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	:	1477558682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVONNE KNIGHT MD

Provider Business Mailing Address
First Line	:	3811 GASKINS RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23233-1436
Country	:	US
Telephone Number	:	804-270-6100
Fax Number	:	804-270-4746

Provider Business Practice Location Address
First Line	:	3811 GASKINS RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23233-1436
Country	:	US
Telephone Number	:	804-270-6100
Fax Number	:	804-270-4746

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	01/20/2011

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