Provider Demographics
NPI:1972603736
Name:ROYAL KNIGHT INCORPORATED
Entity Type:Organization
Organization Name:ROYAL KNIGHT INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:LOU
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:507-289-8192
Mailing Address - Street 1:1204 HARBOR DR SE
Mailing Address - Street 2:SUITE - 100
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-5923
Mailing Address - Country:US
Mailing Address - Phone:507-289-8192
Mailing Address - Fax:507-289-8192
Practice Address - Street 1:1204 HARBOR DR SE
Practice Address - Street 2:SUITE - 100
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-5923
Practice Address - Country:US
Practice Address - Phone:507-289-8192
Practice Address - Fax:507-289-8192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744R1102XOther Service ProvidersSpecialistResearch StudyGroup - Single Specialty