| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CARTER KNEDGEN | 1467035006 | 2021-05-14 |
Carter Knedgen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1467035006. Registration indicates Carter Knedgen is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Podiatric, ) (Clinic/Center Podiatric, Ambulatory Health Care Facilities) (Clinic/Center, ) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Carter Knedgen DPM |
| Practice Office Address | 1305 WEBSTER ST ALAMEDA, CA US |
| Practice Office Telephone | 7753137041 |
| Mailing Address | 550 RIDGE ST RENO, NV 895011720 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 550 Ridge St | Reno, NV 895011720 | 7753137041 |
| Code | Practice | License No State |
|---|---|---|
| 261QP1100X PRIMARY | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Podiatric Clinic/Center Podiatric Ambulatory Health Care Facilities Clinic/Center | |
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |