Provider Demographics
NPI:1518048388
Name:KATHRYN KNIGHT-DOPSON
Entity Type:Organization
Organization Name:KATHRYN KNIGHT-DOPSON
Other - Org Name:KATHRN KNIGHT-DOPSON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:B
Authorized Official - Last Name:DOPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-675-5189
Mailing Address - Street 1:118B HIGHWAY 43 S
Mailing Address - Street 2:
Mailing Address - City:SARALAND
Mailing Address - State:AL
Mailing Address - Zip Code:36571-2835
Mailing Address - Country:US
Mailing Address - Phone:251-675-5189
Mailing Address - Fax:251-675-5189
Practice Address - Street 1:118B HIGHWAY 43 S
Practice Address - Street 2:
Practice Address - City:SARALAND
Practice Address - State:AL
Practice Address - Zip Code:36571
Practice Address - Country:US
Practice Address - Phone:251-675-5189
Practice Address - Fax:251-675-5189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL435332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009901995Medicaid
AL51053954OtherBCBS PROVIDER NUMBER
AL51053954OtherBCBS PROVIDER NUMBER
AL=========0000OtherCIGNA
AL009901995Medicaid
AL=========0000OtherCIGNA