Provider Demographics
NPI:1972680924
Name:KNIGHT, KAMLA (DC)
Entity Type:Individual
Prefix:DR
First Name:KAMLA
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3209 S BROADWAY
Mailing Address - Street 2:STE 217
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-4063
Mailing Address - Country:US
Mailing Address - Phone:405-285-9454
Mailing Address - Fax:405-285-5114
Practice Address - Street 1:3209 S BROADWAY
Practice Address - Street 2:STE 217
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-4063
Practice Address - Country:US
Practice Address - Phone:405-285-9454
Practice Address - Fax:405-285-5114
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3706111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
V05149Medicare UPIN