Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 50329 | KY |
Y | 208600000X | Surgeon | 50329 | KY |
NPI | 1013276310 |
---|---|
Provider Name | Dr. Chadwick J Knight |
First Address | Hazard, KY 41701-9466 |
Second Address | Hazard, KY 41701-9466 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2012 |
Last Update Date | 21/11/2018 |