| Douglas B Knox Md Pa | |
|
1010 Carondelet Dr Suite 140 Kansas City MO 64114-4859 | |
| (816) 943-0199 | |
| (816) 943-0323 |
| Full Name | Douglas B Knox Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1010 Carondelet Dr, Kansas City, Missouri |
| Authorized Official Name and Position | Douglas B Knox (PRESIDENT) |
| Authorized Official Contact | 8169430199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas B Knox Md Pa Po Box 931043 Kansas City MO 64193-0001 Ph: (816) 943-0199 | Douglas B Knox Md Pa 1010 Carondelet Dr Suite 140 Kansas City MO 64114-4859 Ph: (816) 943-0199 |
| NPI Number | 1639368442 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 10/30/2007 |
| Medicare PECOS PAC ID | 2365338704 |
|---|---|
| Medicare Enrollment ID | O20040224000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639368442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 106993 (Missouri) | Primary |
| Provider Name | Douglas B Knox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043212293 PECOS PAC ID: 3870489222 Enrollment ID: I20040503000543 |
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