Individual
MR. JAMES EDWIN DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
36105 REEF DR, KENAI, AK 99611-8767
(907) 330-9006
Mailing address
36105 REEF DR, KENAI, AK 99611-8767
(907) 330-9006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7700-162
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1748037
—
AK
Enumeration date
11/22/2005
Last updated
10/22/2024
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