Provider Demographics
NPI:1447883228
Name:DALTON, KAYLIN MICHELLE (PHLEBOTOMIST)
Entity type:Individual
Prefix:
First Name:KAYLIN
Middle Name:MICHELLE
Last Name:DALTON
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2190 ELMCREST DR APT 4
Mailing Address - Street 2:
Mailing Address - City:BARDSTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40004-2319
Mailing Address - Country:US
Mailing Address - Phone:502-373-7282
Mailing Address - Fax:
Practice Address - Street 1:2190 ELMCREST DR APT 4
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-2319
Practice Address - Country:US
Practice Address - Phone:502-373-7282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-19
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy