Healthcare Provider Details

I. General information

NPI: 1245913052
Provider Name (Legal Business Name): MARJORIE B. MCKNIGHT MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2023
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 IRVING ST NW STE 2300
WASHINGTON DC
20010-2959
US

IV. Provider business mailing address

106 IRVING ST NW STE 2300
WASHINGTON DC
20010-2959
US

V. Phone/Fax

Practice location:
  • Phone: 202-291-6257
  • Fax: 202-726-4926
Mailing address:
  • Phone: 202-291-6257
  • Fax: 202-726-4926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. KYLE ANTHONY BUTLER-MYERS
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 202-291-6257