Provider Demographics
NPI:1235424052
Name:KNAFF, ROBERT L
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:L
Last Name:KNAFF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 HILLCREST ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-3147
Mailing Address - Country:US
Mailing Address - Phone:234-678-8062
Mailing Address - Fax:
Practice Address - Street 1:1519 HILLCREST ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44314-3147
Practice Address - Country:US
Practice Address - Phone:234-678-8062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor