Tremain Kenderic Knox
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Emory, VA
NPI 1174031959 · NPPES record last updated Jan 16, 2018
Key facts
- NPI
- 1174031959
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 30522 Garnand Drive
Emory, VA 24327 - Phone
- (276) 870-5778
- NPI assigned
- Jan 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
30522 Garnand Drive
Emory, VA 24327
Mailing address
PO Box 3666
Wise, VA 24293-3666
Other providers in Emory, VA
- Karen Elmore
- Beth Alison Funkhouser
- Meguayen Elizabeth Greene
- Toni Brenna Hinchey
- Emily Jordan Hinshaw
- Catherine M Martin
- Matthew Lee Wall
All providers in Emory, VA · Student in an Organized Health Care Education/Training Program in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.