Provider Demographics
NPI:1740587385
Name:MCKNIGHT, KAMIKA LASHAN (CMA)
Entity Type:Individual
Prefix:MS
First Name:KAMIKA
Middle Name:LASHAN
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 LOMBARD ST
Mailing Address - Street 2:APT 2508
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-2270
Mailing Address - Country:US
Mailing Address - Phone:805-750-6855
Mailing Address - Fax:
Practice Address - Street 1:1411 LOMBARD ST
Practice Address - Street 2:APT 2508
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030
Practice Address - Country:US
Practice Address - Phone:805-750-6855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-17
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant