Healthcare Provider Details

I. General information

NPI: 1932760006
Provider Name (Legal Business Name): KATHERINE L KNOTT CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE L ALMADA RN

II. Dates (important events)

Enumeration Date: 06/27/2019
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 MDG/ RAF LAKENHEATH UNIT 5115
APO AE
09461
US

IV. Provider business mailing address

48 MDG/ RAF LAKENHEATH UNIT 5115
APO AE
09461
US

V. Phone/Fax

Practice location:
  • Phone: 314-226-8124
  • Fax:
Mailing address:
  • Phone: 314-226-8124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number101.0134344
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: