NPI Profile for AMY J KNACKENDOFFEL in FARMINGTON, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI Number | 1598333452 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 06/16/2021 | |
| Last updated | 12/11/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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AMY J KNACKENDOFFEL
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