Provider Demographics
NPI:1730471780
Name:MCKNIGHT, RICHARD SAMUEL (RN, NP)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:SAMUEL
Last Name:MCKNIGHT
Suffix:
Gender:M
Credentials:RN, NP
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Other - First Name:
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Mailing Address - Street 1:255 N EL CIELO RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-6992
Mailing Address - Country:US
Mailing Address - Phone:760-674-3344
Mailing Address - Fax:760-674-3372
Practice Address - Street 1:255 N EL CIELO RD
Practice Address - Street 2:SUITE 300
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6992
Practice Address - Country:US
Practice Address - Phone:760-674-3344
Practice Address - Fax:760-674-3372
Is Sole Proprietor?:No
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA11466363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily