Provider Demographics
NPI:1518641315
Name:KNIGHTEN, ACQUELYN
Entity Type:Individual
Prefix:MRS
First Name:ACQUELYN
Middle Name:
Last Name:KNIGHTEN
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 1:6036 GLEN OAKS DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70811-6325
Mailing Address - Country:US
Mailing Address - Phone:225-287-5883
Mailing Address - Fax:225-357-9812
Practice Address - Street 1:6036 GLEN OAKS DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70811-6325
Practice Address - Country:US
Practice Address - Phone:225-287-5883
Practice Address - Fax:225-357-9812
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)