Knudsen, Karl R

Knudsen, Karl R is an individual health care provider with primary practice located at 2200 Bryant Williams Dr Suite 1, Klamath Falls OR 97601-1121. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Knudsen, Karl R can be contacted via phone (541) 884-7746.

Contact Information

Primary practice address
2200 Bryant Williams Dr Suite 1 Klamath Falls OR 97601-1121
Phone: (541) 884-7746
Fax: (541) 884-0848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD27448 Oregon
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD27448 Oregon

Profile Details

NPI number 1730275736
LBN Legal business name Knudsen, Karl R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Nov 5th, 2014 - about 11 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 1730275736 NPPES
Oregon Other 93062096697601 TRICARE
Oregon Other P00478530 TRICARE
Oregon Other 891400000 TRICARE
Oregon Other 26220204497601A002 TRICARE
Oregon Other P00419800 TRICARE
Oregon Other 002635014 TRICARE
Oregon MEDICAID 274622 TRICARE

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