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Contact Information

GLEN C KNOWLES, DO
203 WEST MAIN STREET
BRADFORD, AR72020
 Phone: 501-344-2788
 Fax: 501-344-8451
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GLEN C KNOWLES · (Male)

NPI # 1679579536
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/24/2005
Last updated 03/15/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E0193
  • AR Medicaid 125773003
Hospital affiliation(s)
  • STONE COUNTY MEDICAL CENTER - (Critical Access)
    HIGHWAY 14 EAST
    MOUNTAIN VIEW, AR 72560
  • WHITE COUNTY MEDICAL CENTER - (Acute Care)
    3214 EAST RACE AVENUE
    SEARCY, AR 72143
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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