Individual
HOLLY L KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 672-3883
(231) 672-3973
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 727-5211
(231) 727-4571
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004732
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N34010018
MEDICARE PTAN
MI
Enumeration date
06/23/2006
Last updated
04/25/2013
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