Provider Demographics
NPI:1629759493
Name:KNIGHTEN, DENA K
Entity Type:Individual
Prefix:
First Name:DENA
Middle Name:K
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 1:5834 MONROE ST STE A
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2265
Mailing Address - Country:US
Mailing Address - Phone:419-944-7909
Mailing Address - Fax:419-727-4568
Practice Address - Street 1:3550 EXECUTIVE PARKWAY
Practice Address - Street 2:SUITE 7212
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606
Practice Address - Country:US
Practice Address - Phone:419-944-7909
Practice Address - Fax:419-727-4568
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-26
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health