Individual
MR. RICKEY LEE MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA / KCSA
Contact information
Practice address
1298 MILLERTOWN RD, ROCKHOLDS, KY 40759-7638
(606) 627-8575
Mailing address
1298 MILLERTOWN RD, ROCKHOLDS, KY 40759-7638
(606) 627-8575
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3428
KY
Other
Enumeration date
03/21/2006
Last updated
09/01/2009
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