Provider Demographics
NPI:1891736328
Name:KNOX, KENNETH D (DC)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:D
Last Name:KNOX
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 228
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20146-0228
Mailing Address - Country:US
Mailing Address - Phone:630-401-0958
Mailing Address - Fax:301-622-1961
Practice Address - Street 1:12200 TECH RD
Practice Address - Street 2:STE. 104
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1983
Practice Address - Country:US
Practice Address - Phone:301-622-9000
Practice Address - Fax:301-622-1961
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-010179111N00000X
MDS03662111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor