Individual
DR. CAROL J KNOWLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3000 LIMITED LANE NW, OLYMPIA, WA 98502
(360) 357-9392
(360) 357-9392
Mailing address
P.O. BOX 254, YELM, WA 98597
(253) 847-5650
(253) 847-5653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00024444
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0156219
LABOR & INDUSTRY
WA
05
—
1108588
—
WA
01
—
128044
LABOR & INDUSTRY
WA
05
—
8240541
—
WA
Enumeration date
10/03/2006
Last updated
10/25/2016
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