Provider Demographics
NPI:1669424594
Name:KNIGHT, SCOTT RANDALL (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:RANDALL
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14006 W 135TH ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-6254
Mailing Address - Country:US
Mailing Address - Phone:913-829-4555
Mailing Address - Fax:913-829-4554
Practice Address - Street 1:14006 W 135TH ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-6254
Practice Address - Country:US
Practice Address - Phone:913-829-4555
Practice Address - Fax:913-829-4554
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05022111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor