Healthcare Provider Details

I. General information

NPI: 1407068745
Provider Name (Legal Business Name): CHAD LINDLEY KNIGHT LPN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2565 LITTLE CREEK RD
FRANKFORT OH
45628-9714
US

IV. Provider business mailing address

2565 LITTLE CREEK RD
FRANKFORT OH
45628-9714
US

V. Phone/Fax

Practice location:
  • Phone: 740-998-2283
  • Fax:
Mailing address:
  • Phone: 740-998-2283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN110797
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: