Frederick Charles Kneuss III
Individual provider Active NPI Critical Care Medicine Registered Nurse · MC Calla, AL
NPI 1700692159 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1700692159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine Registered Nurse 163WC0200X
- License
- 1-192671 (AL)
- Practice address
- 7073 Lakeside Farms Cir
MC Calla, AL 35111-4063 - Phone
- (810) 210-6858
- NPI assigned
- Dec 9, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-192671 | AL | MD | Critical Care Medicine Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 1-192671 | AL | Yes |
Addresses
Primary practice location
7073 Lakeside Farms Cir
MC Calla, AL 35111-4063
Mailing address
7073 Lakeside Farms Cir
MC Calla, AL 35111-4063
Phone (810) 210-6858
Other providers in MC Calla, AL
- Informed Counseling, LLC
- David Jefferson II
- Linda Jointer
- David Kristopher Jones
- John Ronald Jones
- Laurie Kneuss
- Victor C Lacour
- Madison Leigh Leatherman
- Callie J. Lewis
- Life of Abundance, LLC
All providers in MC Calla, AL · Critical Care Medicine Registered Nurse in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2024. 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.