Pediatrics
KELLY KNOWLES MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1003895798 · enumerated 2006-01-11 · record updated 2013-01-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: KELLY PETRISON
Addresses and phones
- Mailing address 159 MILLBURN AVE, STE 1, MILLBURN, NJ, 07041-1849 (973) 912-0155 Fax (973) 912-8714 Google Maps Apple Maps OpenStreetMap
- Practice location 159 MILLBURN AVE, STE 1, MILLBURN, NJ, 07041-1849 (973) 912-0155 Fax (973) 912-8714 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics 208000000X · Primary · License 25MA06821100 NJ
- Pediatrics, Adolescent Medicine 2080A0000X · License 25MA06821100 NJ
In this directory
Locations and evidence
-
Practice location
MILLBURN, NJ, 070411849
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.