Individual
KASEY L DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
735 NORTH DR, HOPKINSVILLE, KY 42240-2620
(270) 886-5163
(270) 886-5178
Mailing address
PO BOX 614, 3999 FT. CAMPBELL BLVD, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
(270) 886-0392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1131793
KY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1131793
KY
Other
Enumeration date
06/19/2012
Last updated
05/31/2016
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