Healthcare Provider Details

I. General information

NPI: 1518802792
Provider Name (Legal Business Name): RACHEL KATHERINE KNOEBL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 JACKSON ST
SAINT PAUL MN
55101-2502
US

IV. Provider business mailing address

5245 WAYZATA BLVD APT 134
ST LOUIS PARK MN
55416-1328
US

V. Phone/Fax

Practice location:
  • Phone: 651-293-8114
  • Fax: 651-293-8293
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number36157
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: