Provider Demographics
NPI:1245913052
Name:MARJORIE B. MCKNIGHT MD PC
Entity type:Organization
Organization Name:MARJORIE B. MCKNIGHT MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BUTLER-MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-291-6257
Mailing Address - Street 1:106 IRVING ST NW STE 2300
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2959
Mailing Address - Country:US
Mailing Address - Phone:202-291-6257
Mailing Address - Fax:202-726-4926
Practice Address - Street 1:106 IRVING ST NW STE 2300
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2959
Practice Address - Country:US
Practice Address - Phone:202-291-6257
Practice Address - Fax:202-726-4926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty