Provider Demographics
NPI:1871738054
Name:KNIGHT, DENISE (RPA)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:RPA
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Mailing Address - Street 1:155 PRINTERS PKWY
Mailing Address - Street 2:STE 100
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-6100
Mailing Address - Country:US
Mailing Address - Phone:719-365-1193
Mailing Address - Fax:719-365-6957
Practice Address - Street 1:1400 E BOULDER ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5533
Practice Address - Country:US
Practice Address - Phone:719-365-1193
Practice Address - Fax:719-365-6957
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO05CO1163363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant