Melissa L F Knuckles MD PSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

22360 Issued in KY

Legal business name

MELISSA L F KNUCKLES MD PSC

Practice address

1101 East Master Street
Corbin, KY 40701-3511

Phone

(606) 528-2881

NPI assigned

Feb 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Melissa L Knuckles, M.D.NPI 1821074360

Title

President

Phone

(606) 528-2881

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Louellen Forester Knuckles, MD

  • Dermatology Physician
  • Corbin, KY
  • NPI 1821074360
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700928140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MASTER ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407013511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 EAST MASTER STREET",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407013511",
            "telephone_number": "606-528-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA L F KNUCKLES MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNUCKLES",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-528-2881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "22360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Meadows
• Amanda Lee Medlin, BA, MHA
• Ciara Hope Medlin, APRN
• Kristen Faith Meeks-Cox
• Krupa Mehta
• Ashley Melton
• Sarah Mendez
• Mercy Medical Clinic PLLC
• Angela Dawn Merritt, BA
• Brenda L Messer-Johnson, MA, PE

• Specialist in Corbin, KY
• Providers in Corbin, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.