MEDICARE: DAVID MAXWELL KNOWLES PA

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
2	363A00000X	Physician Assistant	15-02644	KS

General Provider Information

NPI Number	:	1164163341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MAXWELL KNOWLES PA

Provider Business Mailing Address
First Line	:	1101 SW 29TH ST
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66611-1200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3310 SE 29TH ST STE 300
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66605-2095
Country	:	US
Telephone Number	:	785-588-4890
Fax Number	:

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

Provider Enumeration Date	:	04/05/2022
Last Update Date	:	06/04/2026

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Directions to “ DAVID MAXWELL KNOWLES PA” Practice Location

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