Provider Demographics
NPI:1629825419
Name:KNOX, KALEIGH ANN (APRN)
Entity type:Individual
Prefix:
First Name:KALEIGH
Middle Name:ANN
Last Name:KNOX
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KALEIGH
Other - Middle Name:ANN
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:732 JOANIE LN
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-9851
Mailing Address - Country:US
Mailing Address - Phone:785-643-1995
Mailing Address - Fax:
Practice Address - Street 1:2090 S OHIO ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-6702
Practice Address - Country:US
Practice Address - Phone:785-309-2323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-01
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-83215-061363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner