Provider Demographics
NPI:1245374743
Name:KNIGHT, KARIS DAMPIER (MD)
Entity type:Individual
Prefix:
First Name:KARIS
Middle Name:DAMPIER
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KARIS
Other - Middle Name:LYNN
Other - Last Name:DAMPIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6360 TECHSTER BLVD
Mailing Address - Street 2:STE 1
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-4805
Mailing Address - Country:US
Mailing Address - Phone:239-223-2751
Mailing Address - Fax:
Practice Address - Street 1:402 JOHNSTON ST SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-3008
Practice Address - Country:US
Practice Address - Phone:256-274-4196
Practice Address - Fax:866-546-5285
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL230852084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALH08801Medicare UPIN