Individual
BETHANY KNORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
268 POST RD, WESTERLY, RI 02891-6600
(401) 604-2500
Mailing address
PO BOX 229, WAKEFIELD, RI 02880-0229
(401) 788-8757
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00859
RI
Other
Enumeration date
01/25/2016
Last updated
03/12/2019
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