Provider Demographics
NPI:1801002977
Name:DAY, DINAH B
Entity Type:Individual
Prefix:MRS
First Name:DINAH
Middle Name:B
Last Name:DAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 17
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:KY
Mailing Address - Zip Code:40823
Mailing Address - Country:US
Mailing Address - Phone:606-589-5800
Mailing Address - Fax:606-589-5800
Practice Address - Street 1:4413 CLOVERLICK RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:KY
Practice Address - Zip Code:40823
Practice Address - Country:US
Practice Address - Phone:606-589-5800
Practice Address - Fax:606-589-5800
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY95687171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator