Provider Demographics
NPI:1811371594
Name:MCKNIGHT, LANCE KELLY (DC)
Entity Type:Individual
Prefix:DR
First Name:LANCE
Middle Name:KELLY
Last Name:MCKNIGHT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9053 ESTATE THOMAS
Mailing Address - Street 2:ROYAL PALMS PROFESSIONAL BLDG #105
Mailing Address - City:ST. THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802
Mailing Address - Country:US
Mailing Address - Phone:340-774-3020
Mailing Address - Fax:340-774-3044
Practice Address - Street 1:9053 ESTATE THOMAS
Practice Address - Street 2:ROYAL PALMS PROFESSIONAL BLDG #105
Practice Address - City:ST. THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-774-3020
Practice Address - Fax:340-774-3044
Is Sole Proprietor?:No
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI70111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor