Search › Kentucky › 1041C0700X
Jenneca Dale
NPI 1144814823 · on the registry since 2021
Practice
- Address
- 1821 Millgate Rd
Louisville, KY 40223 - Phone
- (502) 498-0848
Additional practice sites
- 125 S Main Cross St, Louisa, KY
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky