Healthcare Provider Details

I. General information

NPI: 1518998053
Provider Name (Legal Business Name): JAMI ADAIR KNOX M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JAMI ADAIR WICHERT M.D.

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 05/19/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 JOHN ST STE E-352
KALAMAZOO MI
49007-5341
US

IV. Provider business mailing address

8512 HIGHWAY 39
KLAMATH FALLS OR
97603-9712
US

V. Phone/Fax

Practice location:
  • Phone: 269-341-8986
  • Fax:
Mailing address:
  • Phone: 808-652-5692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD-15136
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD198805
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301070653
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: