| Doctor Name: | PAMELA SUE DALE |
| NPI Number: | 1205172970 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 3007761 |
| Business Practice Address: | 31 Main St Campton, KY - 413019750 |
| Business Phone Number: | 6066689076 |
| Business Fax Number: | 6066686820 |
| Mailing Address: | 31 Main St, CAMPTON |
| State: | KY |
| Postal Code: | 413019750 |
| Phone Number: | 6066689076 |
| Fax Number: | 6066686820 |
| NPI Enumeration Date: | 12/27/2012 |
| NPI Last Update Date: | 03/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 3007761 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |