Provider Demographics
NPI:1700964285
Name:KNEE, ALICIA A (DPM)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:A
Last Name:KNEE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2100 WEBSTER ST
Mailing Address - Street 2:SUITE 117
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2373
Mailing Address - Country:US
Mailing Address - Phone:415-827-7337
Mailing Address - Fax:415-246-8030
Practice Address - Street 1:2100 WEBSTER ST
Practice Address - Street 2:SUITE 117
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2373
Practice Address - Country:US
Practice Address - Phone:415-827-7337
Practice Address - Fax:415-246-8030
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAE4047213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00E40470Medicaid