Provider Demographics
NPI:1144491549
Name:DUNN, GAYLE COLLINS (CFA)
Entity type:Individual
Prefix:MS
First Name:GAYLE
Middle Name:COLLINS
Last Name:DUNN
Suffix:
Gender:F
Credentials:CFA
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 277
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47131-0277
Mailing Address - Country:US
Mailing Address - Phone:502-593-6095
Mailing Address - Fax:812-590-3935
Practice Address - Street 1:221 DULEY CT
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-5066
Practice Address - Country:US
Practice Address - Phone:502-593-6095
Practice Address - Fax:812-590-3935
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INC08--0128A246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant