NPI 1003678285
Knowles Wentworth
Practice location
- Address
- 51 Fairview Street, Brattleboro, VT 05301-2579
- Phone
- (802) 254-6028
- Fax
- (802) 254-7501
- Mailing address
- 390 River Street, Springfield, VT 05156-2226
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1003678285
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Jan 2024
- Record last updated
- 24 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.