Kevin M. Dickerson M.D.

NPI 1053396754 - Pediatrics - 208000000X

NPI Details
NPI 1053396754
Gender Male
Enumeration Date 12/14/2005
Last Updated 06/20/2013
Entity Type Individual
Active Over 10 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.

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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.