Vincent, Dale

Vincent, Dale is an sole proprietor health care provider with primary practice located at 4359 New Shepherdsville Rd Unit 100 , Bardstown KY 40004-8002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vincent, Dale can be contacted via phone (502) 350-5700.

Contact Information

Primary practice address
4359 New Shepherdsville Rd Unit 100 Bardstown KY 40004-8002
Phone: (502) 350-5700
Fax: (502) 350-5701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6271P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3006271 Kentucky

Profile Details

NPI number 1205164936
LBN Legal business name Vincent, Dale
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2009
Last updated Jan 11th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205164936 NPPES
Kentucky MEDICAID 7100100640

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