Knight, Kerry M

Knight, Kerry M is an individual health care provider with primary practice located at 4741 N. Aldea Rd. West , Litchfield Park AZ 85340. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Knight, Kerry M can be contacted via phone (623) 474-2450.

Contact Information

Primary practice address
4741 N. Aldea Rd. West Litchfield Park AZ 85340
Phone: (623) 474-2450
Fax: (623) 474-2450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3281 Arizona

Profile Details

NPI number 1194730762
LBN Legal business name Knight, Kerry M
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Aug 3rd, 2015 - about 10 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 1194730762 NPPES
Arizona MEDICAID 988462

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