Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | R0041191 | OK |
NPI | 1013947928 |
---|---|
Provider Name | Karyl S. Knopps |
First Address | Edmond, OK 73003-3008 |
Second Address | Edmond, OK 73003-3008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 15/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
24955 | OBNDD (01) | OK |
R0041191 | LICENSE (01) | OK |