Provider Demographics
NPI:1902387442
Name:KNIGHT, CASEY (MD)
Entity Type:Individual
Prefix:DR
First Name:CASEY
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 LONGMEADOW RD
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-7331
Mailing Address - Country:US
Mailing Address - Phone:647-302-4616
Mailing Address - Fax:
Practice Address - Street 1:679 DAVIS DRIVE, SUITE 304
Practice Address - Street 2:
Practice Address - City:NEWMARKET
Practice Address - State:ON
Practice Address - Zip Code:L3Y 5G8
Practice Address - Country:CA
Practice Address - Phone:905-895-4423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program