Provider Demographics
NPI:1831427921
Name:KNEIP, CHARLES FREDERICK
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:FREDERICK
Last Name:KNEIP
Suffix:
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 1:3061 COLLEGE PARK DR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-8022
Mailing Address - Country:US
Mailing Address - Phone:936-271-9471
Mailing Address - Fax:936-271-9476
Practice Address - Street 1:3061 COLLEGE PARK DR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-8022
Practice Address - Country:US
Practice Address - Phone:936-271-9471
Practice Address - Fax:936-271-9476
Is Sole Proprietor?:No
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33801183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist