Mr. Kevin Michael Knack Jr.

N.P. | Nurse Practitioner | 14+ years Exp

Accepts Medicare Nurse Practitioner in Mill Valley, California.
Mr. Kevin Michael Knack Jr. is a Mill Valley, California based nurse practitioner with 14 years of experience in . 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. 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 (NP)
Gender:Male
Credentials: N.P.
Experience: 14+ 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: 01 Feb, 2023

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 NumberSpecializationStateStatus
AP60313580Psych/Mental Health WashingtonPrimary
95014679Registered Nurse CaliforniaSecondary
RN60313579Registered Nurse WashingtonSecondary
95014679Psych/Mental Health CaliforniaSecondary
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, CAAcute 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.
IdentifierTypeStateIssuer
2025451MedicaidWashington
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:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.