Doctor Name: | AMBER KATHRYN MCKNIGHT |
NPI Number: | 1679962856 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 2478 |
Business Practice Address: | 1025 E 2nd St Cushing, OK - 740234136 |
Business Phone Number: | 9182253627 |
Business Fax Number: | 9182250871 |
Mailing Address: | 1025 E 2nd St, CUSHING |
State: | OK |
Postal Code: | 740234136 |
Phone Number: | 9182253627 |
Fax Number: | 9182250871 |
NPI Enumeration Date: | 01/12/2015 |
NPI Last Update Date: | 01/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 2478 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |