Healthcare Provider Details

I. General information

NPI: 1750867909
Provider Name (Legal Business Name): NATALIE TERESA DAL'BO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2018
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 KENTUCKY AVENUE, MED PARK 1 SUITE 301
PADUCAH KY
42003
US

IV. Provider business mailing address

1611 NW 12TH AVE
MIAMI FL
33136-1005
US

V. Phone/Fax

Practice location:
  • Phone: 270-575-3113
  • Fax: 270-575-3135
Mailing address:
  • Phone: 305-355-1122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number61410
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: