Individual
KAYLEE DAWN KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
600 S MONROE ST, ENID, OK 73701-7211
(580) 977-1960
Mailing address
3102 W DELTA DR, ENID, OK 73703-3853
(580) 548-7109
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5338
OK
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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