Individual
KELVIN KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2701 DAVIS ST, MERIDIAN, MS 39301-5708
(601) 693-0118
(601) 965-0324
Mailing address
2701 DAVIS ST, MERIDIAN, MS 39301-5708
(601) 693-0118
(601) 965-0324
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901780
MS
Other
Enumeration date
10/12/2016
Last updated
04/11/2017
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