Individual
SCOTT EDWARD KNOWLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9733 HEALTHWAY DRIVE, BERLIN, MD 21811-1288
(410) 641-9450
(410) 641-9515
Mailing address
10026 OLD OCEAN CITY BLVD, BUILDING ONE, BERLIN, MD 21811-1288
(410) 641-9450
(410) 641-9515
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H0065789
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KP95S106
UNSPECIFIED
—
01
—
P00463615
RAILROAD MEDICARE
MD
01
—
P00463615 CD0426
RAILROAD MEDICARE
—
Enumeration date
06/29/2007
Last updated
02/10/2009
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