Individual
DALTON BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 LIFE CARE WAY, BARDSTOWN, KY 40004-2059
(502) 348-4220
Mailing address
120 LIFE CARE WAY, BARDSTOWN, KY 40004-2059
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
008445
KY
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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