NPI 1710740493

Jessie Knighton

Practitioner Private Vehicle Altoona, IA

Practice location

Address: 1121 35th St SW, Altoona, IA 50009-9662
Phone: (515) 357-1944

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence KWU372 (IA)

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Registry record

NPI: 1710740493
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Feb 2024
Record last updated: 5 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.