Individual
KACIE DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 UNIVERSITY BLVD, MOREHEAD, KY 40351-1684
(804) 994-7715
Mailing address
2195 HARRODSBURG RD, LEXINGTON, KY 40504-3516
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
TCA086
KY
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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