Individual
KATHY DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1188
Mailing address
PO BOX 634760, CINCINNATI, OH 45263-0001
(888) 203-1274
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2004000260
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004598
—
WV
01
—
P00294309
RAILROAD MEDICARE
WV
Enumeration date
09/14/2006
Last updated
01/25/2008
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