Healthcare Provider Details

I. General information

NPI: 1316832041
Provider Name (Legal Business Name): KEVIN KNIGHT MS, CNS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 CRANBURY RD
NORWALK CT
06851-2616
US

IV. Provider business mailing address

37 CRANBURY RD
NORWALK CT
06851-2616
US

V. Phone/Fax

Practice location:
  • Phone: 203-722-7713
  • Fax: 203-849-3230
Mailing address:
  • Phone: 203-722-7713
  • Fax: 203-849-3230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: