Search › Missouri › 152W00000X
Amy Knickerbocker, O.D
NPI 1578517306 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3650 Stardust Drive
Hannibal, MO 63401 - Phone
- (573) 406-1503
- Fax
- (573) 406-1057
- Organisation at this address
- Paul Tracy Od
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Hannibal Regional Hospital
Hannibal Regional Healthcare System,IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-03-25
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 Missouri