Kelly P Knowles
Pediatrician Adolescent Medicine
159 Millburn Ave Ste 1
Millburn
, New Jersey 07041-1849
Kelly P Knowles
Pediatrician Adolescent Medicine
159 Millburn Ave Ste 1
Millburn
, New Jersey 07041-1849
(973) 912-8714
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Kelly P Knowles
- 159 Millburn Ave Ste 1
- Millburn, NJ
- Zip : 07041-1849
- Fax : (973) 912-8714
- Phone : (973) 912-0155
Second Address
- Kelly P Knowles
- 159 Millburn Ave Ste 1
- Millburn, NJ
- Zip : 07041-1849
- Fax : (973) 912-8714
- Phone : (973) 912-0155
Reviews
FAQs
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Where is Kelly P Knowles ’s practice located?
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Is Kelly P Knowles a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 25MA06821100 | NJ |
| N | 2080A0000X | Adolescent Medicine | 25MA06821100 | NJ |
National Provider Identifier
| NPI | 1003895798 |
|---|---|
| Provider Name | Kelly P Knowles |
| First Address | Millburn, NJ 07041-1849 |
| Second Address | Millburn, NJ 07041-1849 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2006 |
| Last Update Date | 02/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001427892 | HIGH MARK PA BLUE SHIELD (01) | NJ |
| 010068211NJ01 | ANTHEM HEALTH PIN (01) | NJ |
| 0501095 | AETNA HMO GRP ID (01) | NJ |
| 1997280 | UNITED HEALTH CARE PIN (01) | NJ |
| 1K7604 | HEALTHNET PIN (01) | NJ |
| 2113135000 | AMERIHEALTH HMO PIN (01) | NJ |
| 223285437 | BEECH ST GRP ID (01) | NJ |
| 223285437 | HCPCS GRP ID (01) | NJ |
| 2532962 | AETNA HMO PIN (01) | NJ |
| 4102R | WELL CHOICE PIN (01) | NJ |
| 606914 | PHCS GRP ID (01) | NJ |
| 7182328007 | CIGNA PIN (01) | NJ |
| 956005 | AMERIHEALTH PPO GRP PIN (01) | NJ |
| K4810 | BCBS MANAGED CARE PIN (01) | NJ |
| P2075112 | OXFORD PIN (01) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.