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Shane Knoll
NPI 1023471976 · on the registry since 2016
Practice
- Address
- 2892 Pueblo Bonito
Santa Fe, NM 87507 - Phone
- (508) 665-8044
- Organisation at this address
- Meaningful Change Learning Services, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico