Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | R8885 | MO |
NPI | 1023099140 |
---|---|
Provider Name | William Stephen Knapp |
First Address | Saint Louis, MO 63156-3340 |
Second Address | Florissant, MO 63031-5500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 08/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000010021 | ESSENCE (01) | MO |
0100004 | UHC (01) | MO |
027012451 | (02) | |
100734 | HEALTHLINK (01) | MO |
127448 | GHP (01) | MO |
241162304 | (05) | MO |
4037831 | AETNA (01) | MO |
9108 | BCBS (01) | MO |
D41519 | (02) | MO |
D41519 | MERCY (01) | MO |
D92020 | EXCLUSIVE CHOICE (01) | MO |