Knuckles, Holly Jo

Knuckles, Holly Jo is an individual health care provider with primary practice located at 613 23Rd St Ste 520 , Ashland KY 41101-2878. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Knuckles, Holly Jo can be contacted via phone (606) 326-1674.

Contact Information

Primary practice address
613 23Rd St Ste 520 Ashland KY 41101-2878
Phone: (606) 326-1674
Fax: (606) 326-1436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA987 Kentucky

Profile Details

NPI number 1306972617
LBN Legal business name Knuckles, Holly Jo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jan 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306972617 NPPES
Kentucky MEDICAID 7100344510
Kentucky MEDICAID 0111905

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