Kathleen Knapp, D.o., P.c. | |
1320 Byron Rd Suite A Howell MI 48843-1077 | |
(517) 548-9200 | |
(517) 548-2689 |
Full Name | Kathleen Knapp, D.o., P.c. |
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Speciality | Family Medicine |
Location | 1320 Byron Rd, Howell, Michigan |
Authorized Official Name and Position | Kathleen Knapp (PRESIDENT) |
Authorized Official Contact | 5175489200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kathleen Knapp, D.o., P.c. 1320 Byron Rd Suite A Howell MI 48843-1077 Ph: (517) 548-9200 | Kathleen Knapp, D.o., P.c. 1320 Byron Rd Suite A Howell MI 48843-1077 Ph: (517) 548-9200 |
NPI Number | 1114121290 |
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Provider Enumeration Date | 06/13/2007 |
Last Update Date | 05/08/2014 |
Medicare PECOS PAC ID | 7214064849 |
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Medicare Enrollment ID | O20100429000986 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114121290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Michigan) | Primary |
Provider Name | Kathleen R Knapp |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891776100 PECOS PAC ID: 7618004250 Enrollment ID: I20100429001078 |
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