Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan James Knowlton

Individual provider Podiatrist · NPI 1134652977

Ethan James Knowlton is a Podiatry in Kansas City, Missouri. Qualified in 2017, 9 years ago. Practices with Preferred Podiatry Group PC, a 129-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
9
Licensed in
IL, MO
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1010 Carondelet Dr Ste 301
Kansas City, MO 64114-4823
Phone: (816) 943-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 75 Smithson Dr Ste A, Cassville, MO 65625-9429 — (000) 000-0000
  • 29 Nw 1st Ln, Lamar, MO 64759-8105 — (000) 000-0000
  • 1000 E Hwy 60, Monett, MO 65708-8258 — (000) 000-0000
  • 403 Main St, Golden City, MO 64748 — (000) 000-0000

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 2020014411 (MO)
Podiatrist Taxonomy 213E00000X · Licence K54321091039 (IL)

Record details

NPI number1134652977
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2017
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Preferred Podiatry Group Pc — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Kansas City