MR. CORNELL KEITH KNOCKUM NPI 1396975769

NPI Information

  • NPI: 1396975769
  • Provider Name: MR. CORNELL KEITH KNOCKUM
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 229 NEWBURY WAY
    AMERICAN CANYON, CA
    ZIP 94503
  • Phone: (707) 246-7920

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NPI Details

MR. Cornell Keith Knockum is a mental health counselor in American Canyon, CA. MR. Cornell Keith Knockum NPI is 1396975769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

229 NEWBURY WAY
AMERICAN CANYON, CA
ZIP 94503-228
Phone: (707) 246-7920
Fax: (707) 648-0393

The enumeration date for this NPI number is 7/20/2009 and was last updated on 7/20/2009.

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
1101YM0800XCounselorMental HealthYes

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

NPI Synchronization or Removal

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