Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDY KENT KNUTZON, MD
ActiveRANDY KENT KNUTZON, MD is a Neuroradiology healthcare provider located in ROSEVILLE, California. NPI 1730185620 is currently active in the NPPES registry. Verify at CMS.
Neuroradiology · ROSEVILLE, CA
Registration Details
- NPI Number
- 1730185620
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2005 (21.176076479686 yrs)
- Last Updated
- Jun 8, 2015
- Licenses
-
A46090 (CA)A46090 (CA)A46090 (CA)A46090 (CA)A46090 (CA)
Practice Information
- Address
-
1640 E ROSEVILLE PKWYSTE 100ROSEVILLE, CA, 956613988Browse CA providers · Browse ZIP 95661
- Phone
- 9167842277
- Fax
- 9169321104
- Primary Specialty
-
Neuroradiology
2085N0700X
- Additional Specialty
- Neuroradiology
- Additional Specialty
- 2085N0904X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- 2085R0203X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.