MEDICARE: ARNOLD KNEPFER M.D.

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
1	2084P0800X	Psychiatry Physician	G5489	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1134117435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARNOLD KNEPFER M.D.

Provider Business Mailing Address
First Line	:	21 TAMAL VISTA BLVD
Second Line	:
City	:	CORTE MADERA
State	:	CA
Zip	:	94925-1130
Country	:	US
Telephone Number	:	415-927-2320
Fax Number	:	415-927-1225

Provider Business Practice Location Address
First Line	:	21 TAMAL VISTA BLVD
Second Line	:	212
City	:	CORTE MADERA
State	:	CA
Zip	:	94925-1130
Country	:	US
Telephone Number	:	415-927-2320
Fax Number	:	415-927-1225

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	02/15/2011

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