Knowles, Kelly P
Knowles, Kelly P is an individual health care provider with primary practice located at 159 Millburn Ave Ste 1, Millburn NJ 07041-1849. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Knowles, Kelly P can be contacted via phone (973) 912-0155.Contact Information
Primary practice address
159 Millburn Ave Ste 1
Millburn NJ 07041-1849
Phone: (973) 912-0155
Fax: (973) 912-8714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA06821100 | New Jersey |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 25MA06821100 | New Jersey |
Profile Details
| NPI number | 1003895798 |
|---|---|
| LBN Legal business name | Knowles, Kelly P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Jan 2nd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003895798 | NPPES |
| New Jersey | Other | 010068211NJ01 | ANTHEM HEALTH PIN |
| New Jersey | Other | 2113135000 | ANTHEM HEALTH PIN |
| New Jersey | Other | 1K7604 | ANTHEM HEALTH PIN |
| New Jersey | Other | 956005 | ANTHEM HEALTH PIN |
| New Jersey | Other | P2075112 | ANTHEM HEALTH PIN |
| New Jersey | Other | 606914 | ANTHEM HEALTH PIN |
| New Jersey | Other | K4810 | ANTHEM HEALTH PIN |
| New Jersey | Other | 0501095 | ANTHEM HEALTH PIN |
| New Jersey | Other | 1997280 | ANTHEM HEALTH PIN |
| New Jersey | Other | 223285437 | ANTHEM HEALTH PIN |
| New Jersey | Other | 7182328007 | ANTHEM HEALTH PIN |
| New Jersey | Other | 4102R | ANTHEM HEALTH PIN |
| New Jersey | Other | 001427892 | ANTHEM HEALTH PIN |
| New Jersey | Other | 223285437 | ANTHEM HEALTH PIN |
| New Jersey | Other | 2532962 | ANTHEM HEALTH PIN |
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