Individual
TIMOTHY K DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
336 29TH ST, ASHLAND, KY 41101-1900
(606) 324-4404
(606) 325-6822
Mailing address
336 29TH ST STE 101, ASHLAND, KY 41101-1976
(606) 324-4404
(606) 325-6822
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29603
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64296031
—
KY
Enumeration date
10/11/2005
Last updated
05/18/2022
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