Kelly P Knowles
MD | Pediatrics | Female
Kelly P Knowles, MD is a Millburn, New Jersey based Pediatric doctor with medical specialization in
General Pediatrics. Kelly P Knowles is also known as
Kelly Petrison.
Current practice location of Kelly P Knowles is
159 Millburn Ave, Ste 1, Millburn, New Jersey - 07041-1849. She can be contacted on phone at
973-912-0155 and fax number 973-912-8714.
Kelly P Knowles is a sole proprietor of her business.
NPI number (Unique professional ID) for Kelly P Knowles is
1003895798 which was assigned by NPPES on 11 Jan, 2006 and it was last updated on 02 Jan, 2013.
Kelly P Knowles license number is
25MA06821100 for Pediatrics (208000000X) in New Jersey.
Kelly P Knowles is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kelly P Knowles basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Kelly P Knowles |
|---|
| Other Name : | Kelly Petrison |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Kelly P Knowles address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 159 Millburn Ave, Ste 1
Millburn, NJ, 07041-1849
United States |
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| Phone Number : | 973-912-0155 |
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| Fax Number : | 973-912-8714 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1003895798 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Jan, 2006 |
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| Last Updated On : | 02 Jan, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly P Knowles are as mentioned. Primary taxonomy code for Kelly P Knowles, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | No | 25MA06821100 | NJ |
| 208000000X | Pediatrics | Yes | 25MA06821100 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Kelly P Knowles such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 010068211NJ01 | Other | NJ | ANTHEM HEALTH PIN |
| 2532962 | Other | NJ | AETNA HMO PIN |
| 956005 | Other | NJ | AMERIHEALTH PPO GRP PIN |
| 1K7604 | Other | NJ | HEALTHNET PIN |
| 606914 | Other | NJ | PHCS GRP ID |
| P2075112 | Other | NJ | OXFORD PIN |
| 001427892 | Other | NJ | HIGH MARK PA BLUE SHIELD |
| 223285437 | Other | NJ | BEECH ST GRP ID |
| 0501095 | Other | NJ | AETNA HMO GRP ID |
| 2113135000 | Other | NJ | AMERIHEALTH HMO PIN |
| 223285437 | Other | NJ | HCPCS GRP ID |
| K4810 | Other | NJ | BCBS MANAGED CARE PIN |
| 7182328007 | Other | NJ | CIGNA PIN |
| 1997280 | Other | NJ | UNITED HEALTH CARE PIN |
| 4102R | Other | NJ | WELL CHOICE PIN |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 159 Millburn Ave, Ste 1
Millburn, NJ, 07041-1849
United States |
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| Phone Number : | 973-912-0155 |
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| Fax Number : | 973-912-8714 |
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Business Location:
Patients can refer following map for directions to
Kelly P Knowles practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.