Provider Demographics
NPI:1417298811
Name:KNIGHT, SIBYL (DO)
Entity Type:Individual
Prefix:
First Name:SIBYL
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 17TH ST STE J
Mailing Address - Street 2:
Mailing Address - City:PACIFIC GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:93950-7200
Mailing Address - Country:US
Mailing Address - Phone:831-920-3838
Mailing Address - Fax:831-222-1004
Practice Address - Street 1:199 17TH ST STE J
Practice Address - Street 2:
Practice Address - City:PACIFIC GROVE
Practice Address - State:CA
Practice Address - Zip Code:93950
Practice Address - Country:US
Practice Address - Phone:831-920-3838
Practice Address - Fax:831-222-1004
Is Sole Proprietor?:No
Enumeration Date:2013-03-09
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS13126208D00000X
CA20A15641204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice