Richard Timothy Dickerson in Liberal - Nurse Anesthetist, Certified Registered

Richard Timothy Dickerson - NPI 1518033612

Richard Timothy Dickerson is a Nurse Anesthetist, Certified Registered in Liberal, Kansas. Richard Timothy Dickerson practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Richard Timothy Dickerson is 1518033612. The last update date is 2013-05-24.

Richard Timothy Dickerson's current location address is 315 W 15th St, Liberal, Kansas. You can contact this provider via phone number 6206296682. The mailing address for Richard Timothy Dickerson is 315 W 15th St, Liberal, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Timothy Dickerson
Address 315 W 15th St, Liberal, Kansas
Phone Number 6206296682
Fax Number
Sole Proprietor Y
Credentials CRNA

NPI Number Detail

NPI Number 1518033612
Provider Enumeration Date 2006-11-28
Last Updated Date 2013-05-24

Provider Mailing Address Detail

Address 315 W 15th St
City Liberal
State Kansas (KS)
Post Code 679012455
Phone Number 6206296682
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 1-08001
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
999999 AL --

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FAQs about Richard Timothy Dickerson

What is the Richard Timothy Dickerson's unique identification number?

The Richard Timothy Dickerson has been assigned the NPI (National Provider Identifier) Number 1518033612 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Richard Timothy Dickerson's facilities are situated?

The facilities of Richard Timothy Dickerson are physically located at the following address: 315 W 15Th St, Liberal, KS, 679012455.

What is Richard Timothy Dickerson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Richard Timothy Dickerson is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy classification code for this specialized field is 367500000X.

On what date did Richard Timothy Dickerson receive its 1518033612 assignment from the Centers for Medicare & Medicaid Services?

The Richard Timothy Dickerson was assigned its 1518033612 on 2006-11-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Richard Timothy Dickerson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Richard Timothy Dickerson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-05-24.

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