Organization · Type 2 NPI

Proactive Mso, LLC

Primary Care Clinic/Center · Knox, IN

NPI number 1861945842 Active

Practice location

307 Carlson Dr
Knox, IN 46534-2304

Call (844) 458-2800 Map

Mailing address

86 Villa Rd Ste 100
Greenville, SC 29615-3052

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

NPI record

NPI: 1861945842
Entity type: Organization (Type 2)
Issued: Jul 26, 2016
Last updated: Sep 8, 2026
Status: Active

Other names

<unavail>
Proactive MD Knox Health Center · doing business as
Proactive MD · other name

Authorized official

Mark A Kemble, MD
Chief Medical Officer
(864) 640-8355

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1861945842

Proactive Mso, LLC's National Provider Identifier is 1861945842, issued on Jul 26, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Knox, IN. The record was last updated on Sep 8, 2026.