Provider Demographics
NPI:1285364885
Name:KNECHT, KARA
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:KNECHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 RAILWAY STREET NORTH #266
Mailing Address - Street 2:
Mailing Address - City:FESSENDEN
Mailing Address - State:ND
Mailing Address - Zip Code:58438
Mailing Address - Country:US
Mailing Address - Phone:701-399-9735
Mailing Address - Fax:
Practice Address - Street 1:600 RAILWAY ST N #266
Practice Address - Street 2:
Practice Address - City:FESSENDEN
Practice Address - State:ND
Practice Address - Zip Code:58438
Practice Address - Country:US
Practice Address - Phone:701-399-9735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator