Healthcare Provider Details

I. General information

NPI: 1144320722
Provider Name (Legal Business Name): KRISTEN ELIZABETH KNOCKE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 PARNASSUS AVE RM C152 BOX 0622
SAN FRANCISCO CA
94143-2204
US

IV. Provider business mailing address

1626 PIERCE ST APT 206
SAN FRANCISCO CA
94115-5226
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-0837
  • Fax:
Mailing address:
  • Phone: 415-359-9091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code281PC2000X
TaxonomyChildren's Chronic Disease Hospital
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: