Individual
DR. KENNETH A. KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4453 CASTOR AVE, SUITE B, PHILADELPHIA, PA 19124-3846
(215) 744-2266
(215) 743-9247
Mailing address
4453 CASTOR AVE, SUITE B, PHILADELPHIA, PA 19124-3846
(215) 744-2266
(215) 743-9247
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
OS006957E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014065100001
—
PA
01
—
1811958564
NPI
PA
Enumeration date
03/31/2006
Last updated
11/28/2011
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