| Mr Kevin Knowlton, FNP-C | |
|
1591 Boston Post Rd Ste 100, Guilford, CT 06437-4335 | |
| (203) 453-9911 | |
| Not Available |
| Full Name | Mr Kevin Knowlton |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1591 Boston Post Rd Ste 100, Guilford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598526766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11036860 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 12.012787 (Connecticut) | Primary |
| Entity Name | Prohealth Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin Knowlton, FNP-C 1591 Boston Post Rd Ste 100, Guilford, CT 06437-4335 Ph: (203) 453-9911 | Mr Kevin Knowlton, FNP-C 1591 Boston Post Rd Ste 100, Guilford, CT 06437-4335 Ph: (203) 453-9911 |
Cassandra Tetrault, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1057 Boston Post Rd Ste 2, Guilford, CT 06437 Phone: 866-389-2727 | |
Mr. Paul Mainella, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1057 Boston Post Rd Ste 2, Guilford, CT 06437 Phone: 203-458-1444 | |
Jody Heffernan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Goose Ln, Guilford, CT 06437 Phone: 203-458-2097 | |
Jill Mceachern, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 705 Boston Post Rd, Unit 6c, Guilford, CT 06437 Phone: 475-308-8619 | |
Mrs. Danielle L Deline, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1057 Boston Post Road, Guilford, CT 06437 Phone: 866-389-2727 | |
Meghan Killilea Galli, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1057 Boston Post Rd Ste 2, Guilford, CT 06437 Phone: 203-458-1444 | |
Kayla Bari Penniman, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Durham Rd, Guilford, CT 06437 Phone: 203-453-4444 Fax: 203-458-9477 |