| Doctor Name: | MS. KOLLEEN MARIE DAYTON |
| NPI Number: | 1265413330 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 37047 |
| Business Practice Address: | 3948 Central Ave Shadyside, OH - 439471310 |
| Business Phone Number: | 7405260540 |
| Business Fax Number: | 7405260541 |
| Mailing Address: | Po Box 6230, WHEELING |
| State: | WV |
| Postal Code: | 260030722 |
| Phone Number: | 3042427106 |
| Fax Number: | 3042427108 |
| NPI Enumeration Date: | 11/07/2005 |
| NPI Last Update Date: | 01/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 37047 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |