Melton, Gary Jasper

Melton, Gary Jasper is an individual health care provider with primary practice located at 520 Violet Rd , Crittenden KY 41030-7480. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Melton, Gary Jasper can be contacted via phone (859) 428-1610.

Contact Information

Primary practice address
520 Violet Rd Crittenden KY 41030-7480
Phone: (859) 428-1610
Fax: (859) 428-3923
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20207 Kentucky

Profile Details

NPI number 1932161403
LBN Legal business name Melton, Gary Jasper
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Sep 28th, 2015 - about 11 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 1932161403 NPPES
Kentucky MEDICAID 64202070
Kentucky MEDICAID 2151193

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