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

DR. RAYMOND R KNISLEY, DO

Active

DR. RAYMOND R KNISLEY, DO is a Dermatology healthcare provider located in LAKE WALES, Florida. NPI 1932189008 is currently active in the NPPES registry. Verify at CMS.

Dermatology · LAKE WALES, FL

Registration Details

NPI Number
1932189008
Provider Type
Individual
Gender
Male
NPI Issued
Jan 17, 2006 (20.590534324029 yrs)
Last Updated
Nov 2, 2021
Licenses
OS12508 (FL)
OS12508 (FL)

Practice Information

Address
1255 STATE ROAD 60 E STE 100
LAKE WALES, FL, 338534310
Browse FL providers · Browse ZIP 33853
Phone
8635895685
Fax
8635895639
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology

Other Dermatology Providers in LAKE WALES, FL

Name Credential NPI
EDUVIGIA ANCAYA M.D. 1548217482
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.