Provider Demographics
NPI:1124239371
Name:MCKNIGHT, PATRICIA A (MS,RD,LD)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:A
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:MS,RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 NAICHE CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-3507
Mailing Address - Country:US
Mailing Address - Phone:614-861-3356
Mailing Address - Fax:
Practice Address - Street 1:322 NAICHE CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-3507
Practice Address - Country:US
Practice Address - Phone:614-861-3356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered