Doctor Name: | DR. BETHANY LANE KNIGHT |
NPI Number: | 1457327389 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | C-8445 |
Business Practice Address: | 35 Grasse Street Calico Rock, AR - 72519 |
Business Phone Number: | 8702972475 |
Business Fax Number: | 8702974380 |
Mailing Address: | Po Box 819, CALICO ROCK |
State: | AR |
Postal Code: | 725190819 |
Phone Number: | 8702972475 |
Fax Number: | 8702974380 |
NPI Enumeration Date: | 02/28/2006 |
NPI Last Update Date: | 04/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C-8445 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |