Provider Demographics
NPI:1093722530
Name:KNIGHT, ROBERT D (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1412 FREDERICA ST
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-4803
Mailing Address - Country:US
Mailing Address - Phone:270-685-0216
Mailing Address - Fax:270-685-0863
Practice Address - Street 1:819 E PARRISH AVE
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-3258
Practice Address - Country:US
Practice Address - Phone:270-685-0216
Practice Address - Fax:270-685-0863
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2011-06-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY18971207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64189715Medicaid
KY0044107Medicare ID - Type Unspecified
KY64189715Medicaid