Individual
MRS. STEPHANIE NICOLE DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 707-1104
Mailing address
2229 REDBUD LN, PARIS, KY 40361-2435
(859) 707-1104
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
4503
KY
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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