Individual
JAMES A DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1279 OLD ABBOTT MOUNTAIN RD, PRESTONSBURG, KY 41653
(606) 886-0892
(606) 886-9746
Mailing address
1573 MALLORY LN, STE 100, BRENTWOOD, TN 37027-2895
(615) 221-3855
(615) 221-1484
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA682
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072290
—
OH
05
—
363A00000X
—
KY
05
—
95001673
—
KY
01
—
970019230
MEDICARE RAILROAD
KY
Enumeration date
05/31/2005
Last updated
05/12/2021
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