Individual
KYLE JAMES KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1138 EAST CHESTNUT AVENUE, BUILDING 8 SUITE B, VINELAND, NJ 08360
(856) 507-9320
Mailing address
2605 N BLUE BELL RD, FRANKLINVILLE, NJ 08322-3301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00456000
NJ
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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