MEDICARE: DR. SHANNON STOUT KNAPP 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	207P00000X	Emergency Medicine Physician	0101252227	VA

General Provider Information

NPI Number	:	1932303922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHANNON STOUT KNAPP M.D.

Provider Business Mailing Address
First Line	:	3399 STRAUSS AVE
Second Line	:
City	:	INDIAN HEAD
State	:	MD
Zip	:	20640-5164
Country	:	US
Telephone Number	:	757-314-0714
Fax Number	:

Provider Business Practice Location Address
First Line	:	PSC 819 BOX 18
Second Line	:
City	:	FPO
State	:	AE
Zip	:	09645-0001
Country	:	US
Telephone Number	:	314-727-3307
Fax Number	:

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

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	01/26/2026

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Directions to “ DR. SHANNON STOUT KNAPP M.D.” Practice Location

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