Provider Demographics
NPI:1992554299
Name:KNIGHT, WILLIAM III
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:KNIGHT
Suffix:III
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 1:1740BURBANK
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45406-4301
Mailing Address - Country:US
Mailing Address - Phone:937-580-0763
Mailing Address - Fax:
Practice Address - Street 1:1740BURBANK
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45406-4301
Practice Address - Country:US
Practice Address - Phone:937-580-0763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver