Provider Demographics
NPI:1942258512
Name:KNIGHT, PAMELA A (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:A
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 1:8101 EAST LOWRY BOULEVARD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-7197
Mailing Address - Country:US
Mailing Address - Phone:303-214-4500
Mailing Address - Fax:303-214-4571
Practice Address - Street 1:8101 EAST LOWRY BOULEVARD
Practice Address - Street 2:SUITE 260
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-7197
Practice Address - Country:US
Practice Address - Phone:303-214-4500
Practice Address - Fax:303-214-4571
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO34192208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01341924Medicaid
CO01341924Medicaid
CO382058Medicare PIN