Organization
MELISSA L F KNUCKLES MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA L KNUCKLES M.D. (PRESIDENT)
(606) 528-2881
Entity
Organization
Contact information
Practice address
1101 EAST MASTER STREET, CORBIN, KY 40701-3511
(606) 528-2881
Mailing address
1101 MASTER ST, CORBIN, KY 40701-3511
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22360
KY
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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