Provider Demographics
NPI:1477257566
Name:KNOTT, CHANEY ADELE
Entity Type:Individual
Prefix:
First Name:CHANEY
Middle Name:ADELE
Last Name:KNOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 ARTILLERY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-2502
Mailing Address - Country:US
Mailing Address - Phone:540-907-5409
Mailing Address - Fax:
Practice Address - Street 1:1819 ARTILLERY RIDGE RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-2502
Practice Address - Country:US
Practice Address - Phone:540-907-5409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care