Individual
DR. JOSEPH KEVIN DICKENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S KANAWHA ST, SUITE 104, BECKLEY, WV 25801-6967
(304) 894-8211
(304) 894-8213
Mailing address
PO BOX 207, BECKLEY, WV 25802-0207
(304) 894-8211
(304) 894-8213
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19735
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19735
WV LICENSE
WV
05
—
7300227000
—
WV
Enumeration date
01/23/2006
Last updated
03/07/2023
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