Individual
KEVIN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1169 EASTERN PKWY STE 3364, LOUISVILLE, KY 40217-1415
(502) 813-8280
(512) 473-1334
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 695-8010
(419) 695-0004
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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