Individual provider Active NPI

Kenneth Junius Knox

  • Driver
  • Blairs, VA
National Provider Identifier
1417468620
Registry record updated Oct 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
T60236087 Issued in VA
Practice address
458 Pritchett LN
Blairs, VA 24527-2236
Phone
(434) 857-5908
Fax
(434) 857-5908
NPI assigned
Oct 14, 2017
Last updated
Oct 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X T60236087 VA Primary

Addresses

Primary practice location

458 Pritchett LN
Blairs, VA 24527-2236

Mailing address

458 Pritchett LN
Blairs, VA 24527-2236
Phone (434) 857-5908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T60236087VAMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1507939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507939200000",
    "number": "1417468620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 PRITCHETT LN",
            "city": "BLAIRS",
            "state": "VA",
            "postal_code": "245272236",
            "telephone_number": "434-857-5908",
            "fax_number": "434-857-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 PRITCHETT LN",
            "city": "BLAIRS",
            "state": "VA",
            "postal_code": "245272236",
            "telephone_number": "434-857-5908",
            "fax_number": "434-857-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "KENNETH",
        "middle_name": "JUNIUS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-14",
        "last_updated": "2017-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "VA",
            "license": "T60236087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairs, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2017; 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.