Provider Demographics
NPI:1235670175
Name:ARTHRITIS AND REHABILITATION MEDICINE, PLLC
Entity Type:Organization
Organization Name:ARTHRITIS AND REHABILITATION MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:252-723-1369
Mailing Address - Street 1:PO BOX 966
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28512-0966
Mailing Address - Country:US
Mailing Address - Phone:252-723-1369
Mailing Address - Fax:252-773-0110
Practice Address - Street 1:320 SALTER PATH RD # UNITSAB
Practice Address - Street 2:
Practice Address - City:PINE KNOLL SHORES
Practice Address - State:NC
Practice Address - Zip Code:28512-6135
Practice Address - Country:US
Practice Address - Phone:252-773-0068
Practice Address - Fax:252-773-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-11
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC38137261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1235670175Medicaid