Healthcare Provider Details

I. General information

NPI: 1538023114
Provider Name (Legal Business Name): JAMES CAMERON ALLEY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 BYPASS RD
PIKEVILLE KY
41501-1602
US

IV. Provider business mailing address

911 BYPASS RD
PIKEVILLE KY
41501-1602
US

V. Phone/Fax

Practice location:
  • Phone: 606-430-3500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number4049561
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: