Individual
MRS. AMANDA LYNN KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2821 NW 50TH ST STE 150, OKLAHOMA CITY, OK 73112-8013
(405) 820-4315
Mailing address
10024 NE 145TH ST, JONES, OK 73049-4945
(405) 820-4315
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1471
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200075020A
—
OK
Enumeration date
03/24/2006
Last updated
01/15/2024
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