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Individual

KELLY S KNOWLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
200 MEDICAL ST, SNEAD, AL 35952
(205) 359-2850
Mailing address
200 MEDICAL ST, SNEAD, AL 35952-6593
(205) 359-2850
(205) 453-6169

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4018
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51531136
BCBS OF ALABAMA
AL
Enumeration date
07/11/2006
Last updated
12/02/2019
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