Organization
MEADOW CREEK SURGICAL PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKEY LEE MELTON CSA / KCSA (PRESIDENT)
(606) 627-8575
Entity
Organization
Contact information
Practice address
1420 MILLERTOWN RD, ROCKHOLDS, KY 40759-7640
(606) 627-8575
Mailing address
1420 MILLERTOWN RD, ROCKHOLDS, KY 40759-7640
(606) 627-8575
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3428
KY
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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