Individual provider · Type 1 NPI
Kevin Michael Knack Jr., N.P.
Psychiatric/Mental Health Nurse Practitioner · Mill Valley, CA
NPI number
1376852772
Active
Practice location
655 Redwood Hwy Frontage Rd Ste 240
Mill Valley, CA 94941-3055
Fax (866) 247-4292
Other practice locations
- 531 S Orchard Ave Ste A, Ukiah, CA 95482-5022 · (707) 472-0350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95014679 (CA) |
| Registered Nurse | 163W00000X | RN60313579 (WA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95014679 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP60313580 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1376852772
Kevin Michael Knack Jr., N.P.'s National Provider Identifier is 1376852772, issued on Oct 2, 2010. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mill Valley, CA. The record was last updated on Sep 2, 2025.