Individual
LINDA M DALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1532 LONE OAK RD, STE 415, PADUCAH, KY 42003-7913
(270) 442-0103
(270) 442-0109
Mailing address
PO BOX 636961, CINCINNATI, OH 45263-6961
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3006258
KY
363LA2200X
Adult Health Nurse Practitioner
28100024A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
3006258
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100125770
—
KY
Enumeration date
06/03/2010
Last updated
04/18/2022
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