Provider Demographics
NPI:1144386582
Name:MCKNIGHT, STEPHANIE A (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:A
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:915 MONTGOMERY AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:PENN VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1548
Mailing Address - Country:US
Mailing Address - Phone:610-668-7992
Mailing Address - Fax:610-668-7991
Practice Address - Street 1:915 MONTGOMERY AVE FL 4
Practice Address - Street 2:
Practice Address - City:PENN VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19072-1548
Practice Address - Country:US
Practice Address - Phone:610-668-7992
Practice Address - Fax:610-668-7991
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2019-06-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD431078207QB0002X, 2083B0002X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine