Provider Demographics
NPI:1134480395
Name:KEVIN KNOPF MD PC
Entity Type:Organization
Organization Name:KEVIN KNOPF MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAPATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-668-0191
Mailing Address - Street 1:3838 CALIFORNIA ST
Mailing Address - Street 2:SUITE 707
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1522
Mailing Address - Country:US
Mailing Address - Phone:415-668-0160
Mailing Address - Fax:415-752-4635
Practice Address - Street 1:3838 CALIFORNIA ST
Practice Address - Street 2:SUITE 707
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1522
Practice Address - Country:US
Practice Address - Phone:415-668-0160
Practice Address - Fax:415-752-4635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-05
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG87800174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty