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Individual
KEITH ALAN DIXON
Active
Individual
KEITH ALAN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R3514
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042548
MEDICARE PART A
AR
01
—
1238100005
QUALCHOICE
AR
01
—
3120013
UNITED HEALTH CARE
AR
01
—
51377
BLUE CROSS BLUE SHIELD
AR
Enumeration date
09/13/2006
Last updated
07/08/2007
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