RED KNIGHT CLINIC LLC NPI 1104612183

NPI Information

  • NPI: 1104612183
  • Provider Name: RED KNIGHT CLINIC LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 345 MOKO PL
    LA CONNER, WA
    ZIP 98257
  • Phone: (360) 466-8842

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NPI Details

RED KNIGHT CLINIC LLC is a family medicine in La Conner, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RED KNIGHT CLINIC LLC NPI is 1104612183. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

345 MOKO PL
LA CONNER, WA
ZIP 98257-535
Phone: (360) 466-8842

The provider's authorized official is Wilbert Daniel James .
The authorized official title is Founder and has the following contact phone number (360) 466-8842.

The enumeration date for this NPI number is 4/16/2025 and was last updated on 6/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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