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NPI Code Detail

MEDICARE: DR. DANIEL R KNIGHT MD

MEDICARE: DR. DANIEL R 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
12086S0122XPlastic and Reconstructive Surgery Physician017152LA

Other Identifiers

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

General Provider Information

NPI Number : 1861496556
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL R KNIGHT MD
Provider Business Mailing Address
First Line : PO BOX 53316
Second Line :
City : SHREVEPORT
State : LA
Zip : 71135-3316
Country : US
Telephone Number : 318-716-1705
Fax Number : 318-716-1709
Provider Business Practice Location Address
First Line : 2533 BERT KOUNS INDUSTRIAL LOOP STE 106
Second Line :
City : SHREVEPORT
State : LA
Zip : 71118-3158
Country : US
Telephone Number : 318-716-1705
Fax Number : 318-716-1709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 11/14/2019

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