Principal Knox LLC

NPI #1366593907 in Knox, Indiana

Provider Information

NPI Number: 1366593907
Entity Type: Organization
Organization Name: Principal Knox LLC
Primary Specialty: Anesthesiology
Enumeration Date: Jan 12, 2007
Last Updated: Sep 10, 2008

Practice Location

Address: 102 E CULVER RD
City: Knox
State: Indiana
ZIP Code: 46534-2216
Phone: (574) 772-6231

Authorized Official

Name: WILLIAM M GRACEY
Title: CHIEF OPERATING OFFICER
Phone: (615) 372-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Surgery	208600000X
Anesthesiology	207L00000X	Primary

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