Organization · NPI-2

Dawn Pingleton, DO

Internal Medicine · Danville, KY

NPI number1073809950
StatusActive
Last updated in NPPESJul 29, 2011

Details

NPI
1073809950
Entity type
Organization (NPI-2)
Legal business name
Dawn Pingleton, DO
Organization subpart
No
Enumeration date
Jun 20, 2011
Last updated
Jul 29, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine03176KYYes

Practice location

217 S 3rd St
Danville, KY 40422-1823

Phone 859-239-1470 · Fax 859-239-6905

Mailing address

66 Gabbardtown Rd
Berea, KY 40403-9215

Authorized official

Dawn E. Pingleton
Owner
8592634341

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