Kenneth Karl Knight, MD

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

J0045 Issued in TX

Practice address

4175 S Alamo Ave
Davis Monthan Afb, AZ 85707-4402

Phone

(520) 228-0330

Fax

(520) 228-1766

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1093704256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16510 SHIMMERING LAKE DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332601",
            "telephone_number": "817-564-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 S ALAMO AVE",
            "city": "DAVIS MONTHAN AFB",
            "state": "AZ",
            "postal_code": "857074402",
            "telephone_number": "520-228-0330",
            "fax_number": "520-228-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "KENNETH",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "J0045",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "TX",
            "license": "J0045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collin Douglas Holman, DDS
• Charles Howard, M.D.
• Jordon L Jeans, IDMT
• Demetric Jones, OD
• Sherry Lynn Kauffman, LCSW
• Ryan Charles Knight, PT, DPT, OCS
• Sandra Kay Kuhn, WHNP
• Matthew Robert Land, PA
• Daniel Cooper Lee Jr., DDS
• Robin L Livingston, DMD

• Aerospace Medicine Physician in Davis Monthan Afb, AZ
• Providers in Davis Monthan Afb, AZ by specialty
• Aerospace Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.