Provider Demographics
NPI:1477545465
Name:KNESS, SASKIA (PA)
Entity Type:Individual
Prefix:MRS
First Name:SASKIA
Middle Name:
Last Name:KNESS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 DAVISVILLE RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3276
Mailing Address - Country:US
Mailing Address - Phone:215-322-2242
Mailing Address - Fax:215-322-7610
Practice Address - Street 1:735 DAVISVILLE RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-3276
Practice Address - Country:US
Practice Address - Phone:215-322-2242
Practice Address - Fax:215-322-7610
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA051804363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q30428Medicare UPIN
PA086211Medicare PIN