Provider Demographics
NPI:1174830590
Name:MCKNIGHT, CATHLEEN AGNES (ARNP)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:AGNES
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CATHLEEN
Other - Middle Name:AGNES
Other - Last Name:SCHWING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP
Mailing Address - Street 1:560 WESSEL DR
Mailing Address - Street 2:THE LITTLE CLINIC - KROGER
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-3776
Mailing Address - Country:US
Mailing Address - Phone:513-454-2084
Mailing Address - Fax:
Practice Address - Street 1:10547 MONTGOMERY RD STE 700
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:OH
Practice Address - Zip Code:45242-4418
Practice Address - Country:US
Practice Address - Phone:844-533-0315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH11748363LF0000X
OHAPRN.CNP.11748363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily