# PEARL DYKES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1760003487
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 4007219 | KY | Yes |
| 376K00000X | Nurse's Aide | 50210338 | KY | — |

## Other

- **Enumeration date:** 05/05/2020
- **Last updated:** 11/13/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4007219 | — | KY |
| 05 | — | 50210338 | — | KY |