Individual
DALICE BALLOU ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 CUMBERLAND FALLS HWY, CORBIN, KY 40701-2722
(606) 528-4481
Mailing address
1214 SCENIC VIEW HTS, CORBIN, KY 40701-2188
(606) 261-1443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
09/06/2022
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