MEDICARE: MOLLY MORGAN KNOLL PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	MA058438	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851841258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOLLY MORGAN KNOLL PA-C

Provider Business Mailing Address
First Line	:	520 JEFFERSON AVE
Second Line	:	SUITE 400
City	:	JEANNETTE
State	:	PA
Zip	:	15644-2538
Country	:	US
Telephone Number	:	724-527-8060
Fax Number	:	724-522-4002

Provider Business Practice Location Address
First Line	:	4731 ROUTE 30
Second Line	:	SUITE 302
City	:	GREENSBURG
State	:	PA
Zip	:	15601-7260
Country	:	US
Telephone Number	:	724-830-9350
Fax Number	:	724-830-9353

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2016
Last Update Date	:	09/20/2019

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