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NPI Code Detail

MEDICARE: KERBY SUE KNOLHOFF

MEDICARE: KERBY SUE KNOLHOFF
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
1246ZC0007XSurgical Assistant

General Provider Information

NPI Number : 1770398414
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERBY SUE KNOLHOFF
Provider Business Mailing Address
First Line : 3572 POLK COUNTY LINE RD
Second Line :
City : RUTHERFORDTON
State : NC
Zip : 28139-7316
Country : US
Telephone Number : 618-231-4847
Fax Number :
Provider Business Practice Location Address
First Line : 101 HOSPITAL DR
Second Line :
City : COLUMBUS
State : NC
Zip : 28722-6418
Country : US
Telephone Number : 828-894-3311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2025
Last Update Date : 02/10/2025

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Directions to “ KERBY SUE KNOLHOFF ” Practice Location

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