| Doctor Name: | KENNETH KNICK |
| NPI Number: | 1649413618 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.PH. |
| License Number: | 0202009740 |
| Business Practice Address: | 5525 Catawba Hospital Dr Department Of Pharmacy Catawba, VA - 240702115 |
| Business Phone Number: | 5403754292 |
| Business Fax Number: | 5403754708 |
| Mailing Address: | 5525 Catawba Hospital Dr, CATAWBA |
| State: | VA |
| Postal Code: | 240702115 |
| Phone Number: | 5403754292 |
| Fax Number: | 5403754708 |
| NPI Enumeration Date: | 04/07/2009 |
| NPI Last Update Date: | 04/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835P1300X |
| License Number: | 0202009740 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Psychiatric |
| Taxonomy Definition: | A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |