Provider Demographics
NPI:1194068122
Name:KNITTEL, ANDREA KATHLEEN (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:KATHLEEN
Last Name:KNITTEL
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3027 OLD CLINIC BUILDING CB#7570
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7570
Mailing Address - Country:US
Mailing Address - Phone:919-843-7851
Mailing Address - Fax:
Practice Address - Street 1:3027 OLD CLINIC BUILDING CB#7570
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7570
Practice Address - Country:US
Practice Address - Phone:919-843-7851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2017-00611207V00000X
VA0101279756207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RES000Medicare UPIN