Provider Demographics
NPI:1942250915
Name:KNIGHT, JANET LYON (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:LYON
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6401 POPLAR AVE
Mailing Address - Street 2:SUITE 405
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-4823
Mailing Address - Country:US
Mailing Address - Phone:901-761-2597
Mailing Address - Fax:901-761-9636
Practice Address - Street 1:6401 POPLAR AVE
Practice Address - Street 2:SUITE 405
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-4823
Practice Address - Country:US
Practice Address - Phone:901-761-2597
Practice Address - Fax:901-761-9636
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16192207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN621277171OtherTAX ID
TN621277171OtherTAX ID
TN3018006Medicare ID - Type Unspecified