Healthcare Provider Details

I. General information

NPI: 1184572703
Provider Name (Legal Business Name): CAITLIN KNUTSON DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLDG 22 YUCCA AVE
HOLLOMAN AFB NM
88330
US

IV. Provider business mailing address

BLDG 22 YUCCA AVE
HOLLOMAN AFB NM
88330
US

V. Phone/Fax

Practice location:
  • Phone: 575-572-3303
  • Fax:
Mailing address:
  • Phone: 575-572-3303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: