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NPI Code Detail

MEDICARE: SUSAN KAY KNAPP

MEDICARE: SUSAN KAY KNAPP
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
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1205519865
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN KAY KNAPP
Provider Business Mailing Address
First Line : 1305 HOWARD AVE
Second Line :
City : SAINT PAUL
State : NE
Zip : 68873-1402
Country : US
Telephone Number : 308-754-4433
Fax Number :
Provider Business Practice Location Address
First Line : 1305 HOWARD AVE
Second Line :
City : SAINT PAUL
State : NE
Zip : 68873-1402
Country : US
Telephone Number : 308-754-4433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2023
Last Update Date : 08/10/2023

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Directions to “ SUSAN KAY KNAPP ” Practice Location

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