Individual
DR. GAYLE DENHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD, PMHNP, BC
Contact information
Practice address
207 E MAIN ST, STANFORD, KY 40484-1339
(606) 365-7007
(606) 365-7001
Mailing address
1472 GREASY RIDGE RD, STANFORD, KY 40484-7714
(606) 669-1507
(606) 365-7001
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2829P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000314776
ANTHEM BC BS
KY
01
—
1210159
CHA
KY
01
—
2029184
CIGNA
KY
05
—
78028297
—
KY
Enumeration date
06/09/2006
Last updated
07/09/2007
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