Provider Demographics
NPI:1265161707
Name:MCKNIGHT, CHRISTOPHER KARZL JR
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:KARZL
Last Name:MCKNIGHT
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5443 W SILVERLEAF LN
Mailing Address - Street 2:
Mailing Address - City:BROWN DEER
Mailing Address - State:WI
Mailing Address - Zip Code:53223-1652
Mailing Address - Country:US
Mailing Address - Phone:414-213-8175
Mailing Address - Fax:
Practice Address - Street 1:5443 W SILVERLEAF LN
Practice Address - Street 2:
Practice Address - City:BROWN DEER
Practice Address - State:WI
Practice Address - Zip Code:53223-1652
Practice Address - Country:US
Practice Address - Phone:414-213-8175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver