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General NPI Number Information
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NPI Number | 1245374743
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Entity Type | Individual
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Provider Name | KARIS DAMPIER KNIGHT M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 402 JOHNSTON ST SE
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City | DECATUR
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State | AL
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Zip | 35601-3008
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Country | US
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Telephone | 256-274-4196
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Fax | 866-546-5285
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Provider Business Mailing Address
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Address Line | 6360 TECHSTER BLVD STE 1
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City | FORT MYERS
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State | FL
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Zip | 33966-4805
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Country | US
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Telephone | 239-223-2751
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 23085
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License Number State | AL
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