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Individual
KIMBERLY DANITA DIXON
Active
Individual
KIMBERLY DANITA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
13770
NV
208000000X
Pediatrics Physician
Primary
A115516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A115516
CALIFORNIA LICENSE NUMBER
CA
01
—
LL1797
NV MEDICAL LIC
NV
Enumeration date
07/20/2007
Last updated
01/31/2022
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