Doctor Name: | DR. JAMES LEE KNECHT |
NPI Number: | 1114991122 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 2238 |
Business Practice Address: | 505 N 14th St Perry, OK - 730775021 |
Business Phone Number: | 5803362209 |
Business Fax Number: | 5803364584 |
Mailing Address: | 505 N 14th St, PERRY |
State: | OK |
Postal Code: | 730775021 |
Phone Number: | 5803362209 |
Fax Number: | 5803364584 |
NPI Enumeration Date: | 02/15/2006 |
NPI Last Update Date: | 07/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 2238 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |