Healthcare Provider Details

I. General information

NPI: 1942250915
Provider Name (Legal Business Name): JANET LYON KNIGHT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 POPLAR AVE SUITE 405
MEMPHIS TN
38119-4823
US

IV. Provider business mailing address

6401 POPLAR AVE SUITE 405
MEMPHIS TN
38119-4823
US

V. Phone/Fax

Practice location:
  • Phone: 901-761-2597
  • Fax: 901-761-9636
Mailing address:
  • Phone: 901-761-2597
  • Fax: 901-761-9636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number16192
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: