Individual
DYLAN JAY SALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 BISHOP LN, ELIZABETHTOWN, KY 42701-9266
(270) 234-0003
(270) 360-0840
Mailing address
1262 L AND N TURNPIKE RD, HORSE CAVE, KY 42749-8056
(270) 777-8204
(270) 360-0840
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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