Individual
BEVERLY DAULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
CSA
Contact information
Practice address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
(606) 564-4016
Mailing address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
(606) 564-4016
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
KY
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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