Organization
KNOWLTON FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLY KNOWLTON NP (NURSE PRACTITIONER)
(740) 629-8528
Entity
Organization
Contact information
Practice address
1001 PIKE ST, 7A, MARIETTA, OH 45750-3515
(740) 629-8528
Mailing address
1001 PIKE ST, 7A, MARIETTA, OH 45750-3515
(740) 629-8528
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
NP08402
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2645310
—
OH
05
—
3810011090
—
OH
Enumeration date
06/19/2015
Last updated
06/19/2015
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