Individual
DR. GARY DUAYNE DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5936 SWANSON DR, ASHLAND, KY 41102-7205
(606) 929-9667
(606) 929-9670
Mailing address
5936 SWANSON DR, ASHLAND, KY 41102-7205
(606) 929-9667
(606) 929-9670
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4584
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244994
BC BS ID #
KY
01
—
0007160402
AETNA GROUP ID #
KY
05
—
2556336
—
OH
05
—
3810002417
—
WV
01
—
645626
ACN GROUP #
KY
05
—
85002335
—
KY
Enumeration date
01/23/2006
Last updated
12/20/2010
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