Gary L Knepp
Family Doctor - Geriatric Medicine
400 N Jefferson St
Lewisburg
, West Virginia 24901
Gary L Knepp
Family Doctor - Geriatric Medicine
400 N Jefferson St
Lewisburg
, West Virginia 24901
(304) 645-4103
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Gary L Knepp
- 400 N Jefferson St
- Lewisburg, WV
- Zip : 24901
- Fax : (304) 645-4103
- Phone : (304) 645-3220
Second Address
- Gary L Knepp
- 400 N Jefferson St
- Lewisburg, WV
- Zip : 24901
- Fax : (304) 645-4103
- Phone : (304) 645-3220
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QG0300X | Family Doctor - Geriatric Medicine | 036070966 | IL |
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 2223 | WV |
National Provider Identifier
| NPI | 1275576514 |
|---|---|
| Provider Name | Gary L Knepp |
| First Address | Lewisburg, WV 24901 |
| Second Address | Lewisburg, WV 24901 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2006 |
| Last Update Date | 25/08/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 36070966 | (05) | IL |
| 3810009549 | (05) | WV |
| 794717 | HEALTH ALLIANCE (01) | IL |
| C46242 | (02) | |
| C46242 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.