MEDICARE: MRS. CAROL JEANNE KNIGHT L..P.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
1	101YP2500X	Professional Counselor	18819	TX

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	:	1720183619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAROL JEANNE KNIGHT L..P.C.

Provider Business Mailing Address
First Line	:	PO BOX 211
Second Line	:
City	:	BUSHLAND
State	:	TX
Zip	:	79012-0211
Country	:	US
Telephone Number	:	806-683-1524
Fax Number	:

Provider Business Practice Location Address
First Line	:	6666 W AMARILLO BLVD
Second Line	:	SUITE 28
City	:	AMARILLO
State	:	TX
Zip	:	79106-1756
Country	:	US
Telephone Number	:	806-683-1524
Fax Number	:

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

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	07/09/2007

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