Provider Demographics
NPI:1033308218
Name:REDMOND, KNIKIKIA L (CFTS)
Entity type:Individual
Prefix:
First Name:KNIKIKIA
Middle Name:L
Last Name:REDMOND
Suffix:
Gender:
Credentials:CFTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6579 GUARD HILL DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-6418
Mailing Address - Country:US
Mailing Address - Phone:919-539-1058
Mailing Address - Fax:919-741-4351
Practice Address - Street 1:900 S WILMINGTON ST
Practice Address - Street 2:SUITE 113
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-2364
Practice Address - Country:US
Practice Address - Phone:919-539-1058
Practice Address - Fax:919-741-4351
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7795367Medicaid