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NPI Code Detail

MEDICARE: TIMOTHY R KNAUFF P.A.C.

MEDICARE: TIMOTHY R KNAUFF P.A.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant619NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013088327
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY R KNAUFF P.A.C.
Provider Business Mailing Address
First Line : PO BOX 530010
Second Line :
City : HENDERSON
State : NV
Zip : 89053-0010
Country : US
Telephone Number : 702-492-7208
Fax Number : 702-616-0657
Provider Business Practice Location Address
First Line : 9975 S EASTERN AVE STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-7950
Country : US
Telephone Number : 702-492-7208
Fax Number : 702-616-0657
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2006
Last Update Date : 07/21/2022

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Directions to “ TIMOTHY R KNAUFF P.A.C.” Practice Location

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