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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. HENRY KNOOP IV, RPA-C

Active Sole Proprietor

MR. HENRY KNOOP IV, RPA-C is a Medical Physician Assistant healthcare provider located in LAKEPORT, California. NPI 1790912152 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · LAKEPORT, CA

Registration Details

NPI Number
1790912152
Provider Type
Individual
Gender
Male
NPI Issued
Jun 12, 2009 (16.994474308352 yrs)
Last Updated
Feb 15, 2021
Licenses
085003747 (IL)
PA-21953 (CA)
013106 (NY)
Sole Proprietor
Yes

Practice Information

Address
5176 HILL RD E
LAKEPORT, CA, 954536300
Browse CA providers · Browse ZIP 95453
Phone
7072625088
Fax
7072638977
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in LAKEPORT, CA

Name Credential NPI
MR. SHELDON KING SLOAN PA-C 1285607259
KAREN J KENNEDY PA 1326118365
MS. NICHOL ANN KRIZ PA-C 1033321963
ERIN E THURMAN PA 1053503144
MICHAEL KEITH MIETZ PA 1689944779
MR. MARK BRIEN KANE PA-C 1740615558
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.