Provider Demographics
NPI:1699099408
Name:PATRICIA A. KNOTT, MD, PA
Entity type:Organization
Organization Name:PATRICIA A. KNOTT, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KNOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-428-2676
Mailing Address - Street 1:PO BOX 25618
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72221-5618
Mailing Address - Country:US
Mailing Address - Phone:501-960-4693
Mailing Address - Fax:
Practice Address - Street 1:809 4TH AVE
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-5809
Practice Address - Country:US
Practice Address - Phone:501-336-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR-4218208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty