Provider Demographics
NPI:1184730863
Name:KNECHT, CHRISTIAN (MD)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:KNECHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 LANCASTER RD STE 3
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8792
Mailing Address - Country:US
Mailing Address - Phone:859-623-3576
Mailing Address - Fax:859-624-9682
Practice Address - Street 1:1110 LANCASTER RD STE 3
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-8792
Practice Address - Country:US
Practice Address - Phone:859-623-3576
Practice Address - Fax:859-624-9682
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37841208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1203706OtherCHA HEALTH
KY30210OtherBLUEGRASS FAMILY
KY611235997GOtherHUMANA
KYP00009017OtherPALMETTO GBA
KY1122500OtherPASSPORT HEALTH PLAN
KY000000306461OtherANTHEM
KY0005351745OtherAETNA
KY163843500OtherUS DEPARTMENT OF LABOR
KY5125820OtherCIGNA
KY64064512Medicaid
KY0169Medicare PIN
KY30210OtherBLUEGRASS FAMILY
KYP00009017OtherPALMETTO GBA