Individual
DALE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4359 NEW SHEPHERDSVILLE RD UNIT 100, BARDSTOWN, KY 40004-8002
(502) 350-5700
(502) 350-5701
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006271
KY
363LF0000X
Family Nurse Practitioner
6271P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100100640
—
KY
Enumeration date
11/18/2009
Last updated
01/11/2023
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