Healthcare Provider Details

I. General information

NPI: 1942258512
Provider Name (Legal Business Name): PAMELA A. KNIGHT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 02/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 EAST LOWRY BOULEVARD SUITE 260
DENVER CO
80230-7197
US

IV. Provider business mailing address

8101 EAST LOWRY BOULEVARD SUITE 260
DENVER CO
80230-7197
US

V. Phone/Fax

Practice location:
  • Phone: 303-214-4500
  • Fax: 303-214-4571
Mailing address:
  • Phone: 303-214-4500
  • Fax: 303-214-4571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number34192
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: