Provider Demographics
NPI:1689672776
Name:KNIGHTS, MARY ELIZABETH (MD)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:ELIZABETH
Last Name:KNIGHTS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3840 RUCKRIEGEL PKWY
Mailing Address - Street 2:STE. 105
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-6835
Mailing Address - Country:US
Mailing Address - Phone:502-261-7227
Mailing Address - Fax:844-965-9615
Practice Address - Street 1:3840 RUCKRIEGEL PKWY
Practice Address - Street 2:STE. 105
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-6835
Practice Address - Country:US
Practice Address - Phone:502-261-7227
Practice Address - Fax:844-965-9615
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2021-01-26
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Provider Licenses
StateLicense IDTaxonomies
KY36382208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYG67845Medicare UPIN