Healthcare Provider Details

I. General information

NPI: 1952575748
Provider Name (Legal Business Name): CHRISTINA S KNOX RN, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS CHRISTINA S YOCHEM

II. Dates (important events)

Enumeration Date: 04/14/2008
Last Update Date: 04/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ZORN AVE
LOUISVILLE KY
40206-1433
US

IV. Provider business mailing address

1115 HARVEST RIDGE BLVD # VD
MEMPHIS IN
47143-9481
US

V. Phone/Fax

Practice location:
  • Phone: 502-287-4000
  • Fax:
Mailing address:
  • Phone: 812-294-3554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1087790
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28131890A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: