Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 0990000130 | VT |
NPI | 1114228780 |
---|---|
Provider Name | Dr. Kathleen Knights |
First Address | Lyndonville, VT 05851-0613 |
Second Address | Lyndonville, VT 05851 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2010 |
Last Update Date | 20/10/2016 |