Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD00014527 | WA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD00014527 | WA |
NPI | 1508986159 |
---|---|
Provider Name | Jonathan L Knight |
First Address | Seattle, WA 98124-1584 |
Second Address | Redmond, WA 98052-5543 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 30/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8449506 | (05) | WA |
E99700 | (02) | WA |