HOLLY JO KNUCKLES (NPI# 1306972617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306972617 |
| Entity Type | Individual |
| Full Name | HOLLY JO KNUCKLES |
| Credential | PA-C |
| Practice Address |
613 23rd St Ste 140 Ashland KY 41101-2876 |
| Mailing Address |
Po Box 2379 Ashland KY 41105-2379 |
| Practice Telephone | 6063261674 |
| Practice Fax Number | 6063261436 |
| Mailing Telephone | 6064086200 |
| Mailing Fax Number | 6064086612 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2016-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA987 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0111905 | 05 | |
| KY | 7100344510 | 05 |
| Street Address |
613 23RD ST STE 140 |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-2876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780754028 | Paul Wesley Lewis | Radiology | 613 23rd St Ste 140, Ashland, KY 41101-2876 | 2006-11-08 |
| 1962978544 | Kelsey Lauren Gee | Nurse Practitioner | 613 23rd St Ste 140, Ashland, KY 41101-2876 | 2018-10-22 |
| 1649780917 | Vada Stanley | Nurse Practitioner | 613 23rd St Ste 140, Ashland, KY 41101 | 2017-10-02 |
| 1679090963 | Lauren Noel Ison | Physician Assistant | 613 23rd St Ste 140, Ashland, KY 41101-2876 | 2017-08-28 |
| 1528412459 | Emily Kirsten Greene | Physician Assistant | 613 23rd St Ste 140, Ashland, KY 41101-2876 | 2016-04-18 |
| 1710392071 | Abdallah Naddaf | Surgery | 613 23rd St Ste 140, Ashland, KY 41101 | 2014-06-25 |
| 1699105304 | Robert Joshua Logan | Occupational Therapist | 613 23rd St Ste 140, Ashland, KY 41101 | 2013-11-15 |
| 1538455399 | David William Dockray | Surgery | 613 23rd St Ste 140, Ashland, KY 41101 | 2011-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356664486 | Kings Daughters Medical Specialties Inc | Physician Assistant | 1200 Central Ave Ste 3, Ashland, KY 41101-7575 | 2010-03-03 |
| 1669686010 | James Michael Lavelle | Physician Assistant | 810 Bellefonte Princess Rd, Ashland, KY 41101-2272 | 2007-05-09 |
| 1891747432 | Marcella S Mcguffin | Physician Assistant | 1201 St Christopher Drive, Ashland, KY 41101-7064 | 2006-05-16 |
| 1528412459 | Emily Kirsten Greene | Physician Assistant | 613 23rd St Ste 140, Ashland, KY 41101-2876 | 2016-04-18 |
| 1225409774 | Erika Lynn Carrier | Physician Assistant | 1615 Maple Ln Ste 1, Essentia Health Ashland Clinic, Ashland, WI 54806-3610 | 2015-10-09 |
| 1205253457 | Francesca E Karle | Physician Assistant | 1200 Central Ave Ste 4, Ashland, KY 41101-7575 | 2014-03-26 |
| 1801132964 | Tonya Gail Ruby | Physician Assistant | 2301 Lexington Ave Ste 125, Ashland, KY 41101-2800 | 2012-12-18 |
| 1699027862 | Bellefonte Physician Services, Inc. | Physician Assistant | 2930 Carter Ave, Ste A, Ashland, KY 41101-1943 | 2012-10-11 |
| 1760760185 | Rachel Beth Mendenhall | Physician Assistant | 2021 Baney Rd S, Suite A, Ashland, OH 44805-4574 | 2011-08-02 |
| 1679710982 | Brittany R Stewart | Physician Assistant | 613 23rd St, Suite 340, Ashland, KY 41101-2878 | 2009-01-09 |
| Find all providers in ASHLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.