Provider Demographics
NPI:1093145443
Name:MCKNIGHT, CATHERINE CASEY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:CASEY
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:LOUISE
Other - Last Name:CASEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:DUKE UNIVERSITY MEDICAL CENTER, BOX 3458
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710
Mailing Address - Country:US
Mailing Address - Phone:919-681-2425
Mailing Address - Fax:
Practice Address - Street 1:3458 DUKE UNIVERSITY MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710
Practice Address - Country:US
Practice Address - Phone:919-681-2425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-21
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-04480363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical