Provider Demographics
NPI:1598531675
Name:KNUTSON, MOLLY E (CD)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:E
Last Name:KNUTSON
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21019 BRISTOL EDGE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-2049
Mailing Address - Country:US
Mailing Address - Phone:401-297-6614
Mailing Address - Fax:
Practice Address - Street 1:21019 BRISTOL EDGE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-2049
Practice Address - Country:US
Practice Address - Phone:401-297-6614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula