Individual
CAROLYN KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11147 HIGHWAY 18, SUITE 1, CONNEAUT LAKE, PA 16316-3603
(440) 293-5555
Mailing address
12141 FRY RD, SUITE 1, EDINBORO, PA 16412-1207
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA000307L
PA
Other
Enumeration date
02/22/2007
Last updated
05/28/2021
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