KAITLIN KNOWLES
NPI 1861883936
Student in an Organized Health Care Education/Training Program in Champaign, IL

Active since February 11, 2015
2802 PINE VALLEY DR, CHAMPAIGN, IL 61822(217) 530-2176 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kaitlin Knowles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLIN KNOWLES (NPI 1861883936) is an individual student in an organized health care education/training program in Champaign, Illinois and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1861883936
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAITLIN KNOWLES
Location Address2802 PINE VALLEY DRChampaign, IL 61822-7984
Mailing Address2802 Pine Valley DrChampaign, IL 61822-7984 · (217) 530-2176
Sole ProprietorNo
Enumeration DateFebruary 11, 2015
NPI 1861883936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2802 PINE VALLEY DR, Champaign, IL 61822

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861883936, enumerated as an "individual" on February 11, 2015.

The provider is located at 2802 PINE VALLEY DR CHAMPAIGN, IL 61822 and the phone number is (217) 530-2176.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.