Provider Demographics
NPI:1841535762
Name:KNAPE, RYAN
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:KNAPE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 KIMOLE LN
Mailing Address - Street 2:SUITE A-4
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-1491
Mailing Address - Country:US
Mailing Address - Phone:517-263-6140
Mailing Address - Fax:517-265-5876
Practice Address - Street 1:901 KIMOLE LN
Practice Address - Street 2:SUITE A-4
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-1491
Practice Address - Country:US
Practice Address - Phone:517-263-6140
Practice Address - Fax:517-265-5876
Is Sole Proprietor?:No
Enumeration Date:2012-12-04
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant