Knowles, Kenneth A.

Knowles, Kenneth A. is an individual health care provider with primary practice located at 4453 Castor Ave Suite B, Philadelphia PA 19124-3846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Knowles, Kenneth A. can be contacted via phone (215) 744-2266.

Contact Information

Primary practice address
4453 Castor Ave Suite B Philadelphia PA 19124-3846
Phone: (215) 744-2266
Fax: (215) 743-9247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X OS006957E Pennsylvania

Profile Details

NPI number 1811958564
LBN Legal business name Knowles, Kenneth A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Nov 28th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811958564 NPPES
Pennsylvania MEDICAID 0014065100001
Pennsylvania Other 1811958564

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