Provider Demographics
NPI:1972711547
Name:MCKNIGHT, KATHERINE K (MD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:K
Last Name:MCKNIGHT
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 1:929 GESSNER STE. 2300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024
Mailing Address - Country:US
Mailing Address - Phone:713-465-1211
Mailing Address - Fax:713-550-1475
Practice Address - Street 1:929 GESSNER STE. 2300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024
Practice Address - Country:US
Practice Address - Phone:713-465-1211
Practice Address - Fax:713-550-1475
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AL27826207VE0102X
TXP0637207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051598535OtherBCBS
AL110696Medicaid
AL113817Medicaid
AL051598537OtherBCBS
AL110694Medicaid
AL116914Medicaid
MS00108520Medicaid
AL051100030OtherBCBS
AL051103666OtherBCBS
MS00108520Medicaid