Kevin M. Dickerson in Columbus - Pediatrics
Kevin M. Dickerson - NPI 1053396754
Kevin M. Dickerson is a Pediatrics in Columbus, Ohio. Kevin M. Dickerson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kevin M. Dickerson is 1053396754. The last update date is 2013-06-20.
Kevin M. Dickerson's current location address is 4885 Olentangy River Rd, Columbus, Ohio. You can contact this provider via phone number 6142677878 and fax number 6142677077. The mailing address for Kevin M. Dickerson is 4885 Olentangy River Rd, Columbus, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin M. Dickerson |
|---|---|
| Address | 4885 Olentangy River Rd, Columbus, Ohio |
| Phone Number | 6142677878 |
| Fax Number | 6142677077 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053396754 |
|---|---|
| Provider Enumeration Date | 2005-12-14 |
| Last Updated Date | 2013-06-20 |
Provider Mailing Address Detail
| Address | 4885 Olentangy River Rd |
|---|---|
| City | Columbus |
| State | Ohio (OH) |
| Post Code | 432141926 |
| Phone Number | 6142677878 |
| Fax Number | 6142677077 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 35-07-5037 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2158990 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kevin M. Dickerson by the Centers for Medicare & Medicaid Services?
The Kevin M. Dickerson has been issued the NPI (National Provider Identifier) 1053396754, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kevin M. Dickerson is physically located?
The Kevin M. Dickerson is physically situated at the following address: 4885 Olentangy River Rd, Columbus, OH, 432141926.
What is the Kevin M. Dickerson's specialty and taxonomy code?
The Kevin M. Dickerson's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053396754 to Kevin M. Dickerson?
The Kevin M. Dickerson received its 1053396754 assignment from the Centers for Medicare & Medicaid Services on 2005-12-14.
When was the information regarding Kevin M. Dickerson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kevin M. Dickerson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-06-20.