IndividualActive
Rickey Melton, CSA / KCSA
NPI 1316906084 · Surgical Physician Assistant · Rockholds, KY
Provider details
- NPI number
- 1316906084
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CSA / KCSA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3428 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1298 Millertown Rd
Rockholds, KY 40759-7638
Phone: (606) 627-8575
Approximate (ZIP-level) locationGet directions
Mailing address
1298 Millertown Rd
Rockholds, KY 40759-7638
Registry dates
- Enumerated
- 2006-03-21
- Last updated
- 2009-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.