Kara Jean Knickerbocker, D.O.

Pediatrics Physician · Wright Patterson Afb, OH

Individual Active NPI

NPI number 1871027243

Practice location

4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5529
Phone
(937) 257-6991

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NPI record

NPI
1871027243
Entity type
Individual (Type 1)
Enumeration date
April 12, 2017
Last updated
December 17, 2020
Certified
December 17, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 34.013579 OH

Mailing address

13704 Middleton Pike
Bowling Green, OH 43402-9480

Other practice locations (1)

  • 1 Childrens Plz, Dayton, OH 45404-1873 · (937) 641-3000

About Dr. Knickerbocker

Kara Jean Knickerbocker, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529. The NPI number 1871027243 was assigned on April 12, 2017 and the record was last updated on December 17, 2020.

Dr. Knickerbocker lists a license in the registry: #34.013579 (OH) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kara Jean Knickerbocker, D.O.?

The NPI number is 1871027243.

What is the phone number of Dr. Knickerbocker?

The phone number listed for the practice location is (937) 257-6991.

Where is Dr. Knickerbocker located?

4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529.

What is the taxonomy code for Dr. Knickerbocker?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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