Individual
MALIA BETH DIMELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3470 BLAZER PKWY STE 300, LEXINGTON, KY 40509-1887
(859) 629-7110
(859) 543-1989
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(859) 543-7110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4030578
KY
Other
Enumeration date
11/15/2024
Last updated
12/11/2024
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