Provider Demographics
NPI:1871598854
Name:KNAPP, DAVID S (MD)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:S
Last Name:KNAPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 GREY PL
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-6138
Mailing Address - Country:US
Mailing Address - Phone:615-414-9025
Mailing Address - Fax:
Practice Address - Street 1:106 GREY PL
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-6138
Practice Address - Country:US
Practice Address - Phone:615-414-9025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11365207RR0500X
TNMD0000011291207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN660004019OtherRAILROAD MEDICARE
TN3029217Medicaid
SC113656Medicaid
SCSCC4025019OtherMEDICARE PIN