Individual
BRIAN KEVIN KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
624 W. LOCKLING ST, BROOKFIELD, MO 64628-2336
(660) 258-3363
(660) 258-5409
Mailing address
624 W. LOCKLING ST, BROOKFIELD, MO 64628-2336
(660) 258-3363
(660) 258-5409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9F17
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242289007
—
MO
Enumeration date
09/06/2006
Last updated
08/09/2011
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