Kelly P Knowles, MD
Pediatrics in Millburn, New Jersey
1003895798- Practice location
- 159 Millburn Ave, Ste 1, Millburn, NJ 07041-1849
- Phone
- 973-912-0155
- Fax
- 973-912-8714
- Last updated
- January 2, 2013
Kelly P Knowles is a Pediatrics based in Millburn, NJ. Kelly P Knowles practices in Millburn, NJ and has the professional credentials of MD. The NPI Number for Kelly P Knowles is 1003895798 and holds a License No. 25MA06821100 (NJ). The current practice location address for Kelly P Knowles is 159 Millburn Ave, Ste 1, Millburn, NJ 07041-1849 and can be reached out via phone at 973-912-0155 and via fax at 973-912-8714.
Provider Profile Details
- NPI Number
- 1003895798
- Provider Name
- Kelly P Knowles
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 159 Millburn Ave, Ste 1, Millburn, NJ 07041-1849
- Phone Number
- 973-912-0155
- Fax Number
- 973-912-8714
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Other Names
- -- Kelly Petrison, MD (Former Name)
- Provider Enumeration Date
- January 11, 2006
- Last Update Date
- January 2, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 159 Millburn Ave
Ste 1
Millburn, NJ 07041-1849 - City
- Millburn
- State
- New Jersey
- Zip
- 07041-1849
- Phone Number
- 973-912-0155
- Fax Number
- 973-912-8714
Provider Business Mailing Address Details
- Address
- 159 Millburn Ave
Ste 1
Millburn, NJ 07041-1849 - City
- Millburn
- State
- NJ
- Zip
- 07041-1849
- Phone Number
- 973-912-0155
- Fax Number
- 973-912-8714
License Information
- License Number (1)
- 25MA06821100
- License State (1)
- NJ
- Taxonomy (1)
- Pediatrics · 208000000X · Primary
- License Number (2)
- 25MA06821100
- License State (2)
- NJ
- Taxonomy (2)
- Pediatrics, Adolescent Medicine · 2080A0000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Millburn, NJ
View all Pediatrics providers in Millburn →Frequently Asked Questions
What is the NPI number of Kelly P Knowles, MD?
The NPI number of Kelly P Knowles, MD is 1003895798. It was assigned on January 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Kelly P Knowles, MD?
Kelly P Knowles, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA06821100.
Where does Kelly P Knowles, MD practice?
The practice location is 159 Millburn Ave, Ste 1, Millburn, NJ 07041-1849. The office can be reached at 973-912-0155 (phone) or 973-912-8714 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003895798 directly on the NPPES registry website.