Knight, Bethany Lane

Knight, Bethany Lane is an individual health care provider with primary practice located at 35 Grasse Street , Calico Rock AR 72519. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Knight, Bethany Lane can be contacted via phone (870) 297-2475.

Contact Information

Primary practice address
35 Grasse Street Calico Rock AR 72519
Fax: (870) 297-4380
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C8445 Arkansas
Allopathic & Osteopathic Physicians / General Practice 208D00000X C-8445 Arkansas

Profile Details

NPI number 1457327389
LBN Legal business name Knight, Bethany Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Apr 3rd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457327389 NPPES
Arkansas Other 04949 CIGNA
Arkansas Other 16627000000 CIGNA
Arkansas Other 5K113 CIGNA
Arkansas MEDICAID 129577001 CIGNA

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