Provider Demographics
NPI:1619222783
Name:KNOWLES, AMELIA N (PA-C)
Entity type:Individual
Prefix:
First Name:AMELIA
Middle Name:N
Last Name:KNOWLES
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:301C US ROUTE 1
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074
Mailing Address - Country:US
Mailing Address - Phone:207-396-8600
Mailing Address - Fax:207-973-7515
Practice Address - Street 1:925 UNION ST
Practice Address - Street 2:SUITE 3
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-3051
Practice Address - Country:US
Practice Address - Phone:207-973-9980
Practice Address - Fax:207-973-7515
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2013-09-25
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical