Individual
ETHAN JAMES KNOWLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 CARONDELET DR STE 301, KANSAS CITY, MO 64114-4823
(816) 943-1111
Mailing address
1010 CARONDELET DR STE 301, KANSAS CITY, MO 64114-4823
(816) 943-1111
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
K54321091039
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2020014411
MO
Other
Enumeration date
04/08/2017
Last updated
11/03/2025
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