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John Dickerson

NPI 1225171416 · on the registry since 2007

Practice

Address
100 Hunter Street
Sandy Hook, KY 41171
Phone
(606) 738-4041
Fax
(606) 738-4030

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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