Individual
DIXIE DAVIDSON STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
439 E PLEASANT ST, CYNTHIANA, KY 41031-1827
(859) 234-4494
(859) 234-4498
Mailing address
1210 KY HIGHWAY 36 E, SUITE G3, CYNTHIANA, KY 41031-7490
(859) 235-3638
(859) 235-3536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA910
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100086160
—
KY
01
—
PA910
MEDICAL LICENSE
KY
Enumeration date
08/10/2006
Last updated
07/19/2015
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