| NPI Details | |
|---|---|
| NPI | 1053396754 |
| Gender | Male |
| Enumeration Date | 12/14/2005 |
| Last Updated | 06/20/2013 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 4885 OLENTANGY RIVER RD SUITE 2-10 COLUMBUS OH, 43214-1926, US |
|
| Phone | (614) 267-7878 |
| Fax | (614) 267-7077 |
| Business Location | |
|---|---|
| 4885 OLENTANGY RIVER RD SUITE 2-10 COLUMBUS OH, 43214-1926, US |
|
| Phone | (614) 267-7878 |
| Fax | (614) 267-7077 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 208000000X |
| License State | Ohio |
| License Number | 35-07-5037 |
| Remove 1053396754 NPI Number | |
According to our database, Kevin M. Dickerson M.D. NPI is 1053396754, taxonomy code is 208000000X and license number is 35-07-5037, license state is located at Ohio. Kevin M. Dickerson M.D. physically located at 4885 Olentangy River Rd, Columbus OH, 43214-1926. NPI Number Kevin M. Dickerson M.D. has the Individual type.
Sponsored links
1053396754 NPI number is provided on an as is basis without warranty of any kind. 1053396754 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin M. Dickerson M.D. are for informational purposes only.
Sponsored links