Provider Demographics
NPI:1093319519
Name:KNIGHT, BRITTANY LAINE (PA-C)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LAINE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12099 MORAN ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-2757
Mailing Address - Country:US
Mailing Address - Phone:850-338-0108
Mailing Address - Fax:
Practice Address - Street 1:12099 MORAN ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-2757
Practice Address - Country:US
Practice Address - Phone:850-338-0108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program