| Doctor Name: | DR. BRENDAN JONATHAN KNOWLES |
| NPI Number: | 1912343542 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | NONE |
| Business Practice Address: | 500 Cherry St Bluefield, WV - 247013306 |
| Business Phone Number: | 3043271100 |
| Business Fax Number: | 3043271808 |
| Mailing Address: | 500 Cherry St, BLUEFIELD |
| State: | WV |
| Postal Code: | 247013306 |
| Phone Number: | 3043271100 |
| Fax Number: | 3043271808 |
| NPI Enumeration Date: | 05/22/2013 |
| NPI Last Update Date: | 05/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | NONE |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |