Most Relevant Information
Provider Data
| NPI Number: | 1003698945 |
| Provider Name: | KESHANA KNOX |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/16/2023 |
| Last Updated: | 10/16/2023 |
Provider Practice Location
100 STARR AVE STE A
STARKVILLE
MS
397594032
Practice Location Phone/Fax
| Phone: | 6622688058 |
| Fax: |
Provider Mailing Location
1867 CRANE RIDGE DR STE 150C
JACKSON
MS
392164982
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |