Individual
PAMELA SUE DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
31 MAIN ST STE 1, CAMPTON, KY 41301-9750
(606) 668-9076
(606) 668-6820
Mailing address
PO BOX 99, CAMPTON, KY 41301-0099
(606) 668-9076
(606) 668-7488
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3007761
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100362470
—
KY
Enumeration date
12/27/2012
Last updated
03/16/2023
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