Pamela J Knight, LPN II

Individual provider Active NPI Licensed Practical Nurse · Ware Shoals, SC

NPI 1871832964 · NPPES record last updated Feb 8, 2013

Key facts

NPI
1871832964
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
P7271 (SC)
Practice address
45 W Main St
Ware Shoals, SC 29692-1440
Phone
(864) 456-7496
Fax
(864) 456-4470
NPI assigned
Feb 8, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P7271SCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Beckman Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X P7271 SC Yes

Addresses

Primary practice location

45 W Main St
Ware Shoals, SC 29692-1440

Mailing address

45 W Main St
Ware Shoals, SC 29692-1440
Phone (864) 456-7496

Other providers in Ware Shoals, SC

All providers in Ware Shoals, SC · Licensed Practical Nurse in South Carolina

Sources for this page

Verify at the official NPI Registry.