Provider Demographics
NPI:1326853318
Name:KNIGHT, NATASHA LYNN
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:LYNN
Last Name:KNIGHT
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 1:366 HIGHER GROUND LOOP
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-2728
Mailing Address - Country:US
Mailing Address - Phone:580-630-0455
Mailing Address - Fax:
Practice Address - Street 1:366 HIGHER GROUND LOOP
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-2728
Practice Address - Country:US
Practice Address - Phone:580-630-0455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist