Healthcare Provider Details

I. General information

NPI: 1518115559
Provider Name (Legal Business Name): JASON A KNIGHT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 01/21/2021
Certification Date: 01/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4321 WASHINGTON ST STE 4000
KANSAS CITY MO
64111-5965
US

IV. Provider business mailing address

901 E 104TH ST MAILSTOP 400S
KANSAS CITY MO
64131
US

V. Phone/Fax

Practice location:
  • Phone: 816-932-3300
  • Fax: 330-344-6449
Mailing address:
  • Phone:
  • Fax: 816-932-9670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number2020040421
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: