Mr. Kevin Michael Knack Jr.
N.P. | Nurse Practitioner | 15+ years Exp
655 Redwood Hwy Frontage Rd Ste 240, Mill Valley
California, 94941-3055
866-247-4292
Mr. Kevin Michael Knack Jr. is a Mill Valley, California based nurse practitioner with 15 years of experience in Nurse Practitioner. He completed his graduation in 2010. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Kevin Michael Knack Jr. is AP60313580 for Psych/Mental Health in Washington. His current practice location is 655 Redwood Hwy Frontage Rd Ste 240, Mill Valley. Patients can reach him at 866-247-4292 or can fax him at 866-247-4292. Mr. Kevin Michael Knack Jr. is N.P. with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1376852772.
Mr. Kevin Michael Knack Jr. has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Kevin Michael Knack Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Kevin Michael Knack Jr. |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | N.P. |
| Experience: | 15+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2010 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 655 Redwood Hwy Frontage Rd Ste 240, Mill Valley,
California, 94941-3055 |
| Phone: | 866-247-4292 |
| Fax: | 866-247-4292 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0345487013 |
| Enrollment ID: | I20210107001448 |
| NPI Number: | 1376852772 |
| NPI Enumeration Date: | 02 Oct, 2010 |
| NPI Last Update On: | 02 Sep, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Kevin Michael Knack Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| AP60313580 | Psych/Mental Health | Washington | Primary | |
| 95014679 | Registered Nurse | California | Secondary | |
| RN60313579 | Registered Nurse | Washington | Secondary | |
| 95014679 | Psych/Mental Health | California | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (050301) | Ukiah, CA | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Kevin Michael Knack Jr. is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Redwood Quality Management Company Inc (1951666932) | 5 |
| Segal Telepsychiatry Network (1951564111) | 5 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Kevin Michael Knack Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2025451 | Medicaid | Washington | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Kevin Michael Knack Jr.
655 Redwood Hwy Frontage Rd Ste 240,
Mill Valley, California |
| Zip: | 94941-3055 |
| Phone Number: | 866-247-4292 |
| Fax Number: | 866-247-4292 |
Patients can reach Mr. Kevin Michael Knack Jr. at
655 Redwood Hwy Frontage Rd Ste 240, Mill Valley, California or can
call to book an appointment on 866-247-4292.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.