Provider Demographics
NPI:1386489367
Name:KNIGHT, KAY-LEIGH CROOK (RN)
Entity type:Individual
Prefix:
First Name:KAY-LEIGH
Middle Name:CROOK
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2157 DAY DR
Mailing Address - Street 2:
Mailing Address - City:BOGART
Mailing Address - State:GA
Mailing Address - Zip Code:30622-1953
Mailing Address - Country:US
Mailing Address - Phone:678-920-8588
Mailing Address - Fax:
Practice Address - Street 1:2157 DAY DR
Practice Address - Street 2:
Practice Address - City:BOGART
Practice Address - State:GA
Practice Address - Zip Code:30622-1953
Practice Address - Country:US
Practice Address - Phone:678-920-8588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN277557390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program