Provider Demographics
NPI:1285731539
Name:KNOPP, RUSSELL H (DC)
Entity type:Individual
Prefix:DR
First Name:RUSSELL
Middle Name:H
Last Name:KNOPP
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:649 OAK POINTE DR.
Mailing Address - Street 2:
Mailing Address - City:SHEPHERDSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40165
Mailing Address - Country:US
Mailing Address - Phone:502-543-0898
Mailing Address - Fax:
Practice Address - Street 1:1451 HIGHWAY 44 E
Practice Address - Street 2:
Practice Address - City:SHEPHERDSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40165-5128
Practice Address - Country:US
Practice Address - Phone:502-955-5328
Practice Address - Fax:502-543-5039
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3863111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor