# DR. HALLUM KIRKWOOD DICKENS IV

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538691696
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2018-02244 | NC | — |
| 207Q00000X | Family Medicine Physician | 77275 | WI | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 77275 | WI | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 03/29/2017
- **Last updated:** 03/18/2026