Individual
DR. KIRKLAND MCKINNEY DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
3853 US 311 HWY N, PINE HALL, NC 27042-8184
(336) 427-3076
Mailing address
PO BOX 10, DANBURY, NC 27016-7360
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011957
NC
363LG0600X
Gerontology Nurse Practitioner
5011957
NC
363LP2300X
Primary Care Nurse Practitioner
5011957
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5011957
STATE LICENSE NUMBER
ND
Enumeration date
07/02/2019
Last updated
05/14/2026
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