Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 4680 | OK |
NPI | 1003237108 |
---|---|
Provider Name | Kathryn Knight |
First Address | Oklahoma City, OK 73107-1818 |
Second Address | Oklahoma City, OK 73139-2544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2013 |
Last Update Date | 17/12/2013 |