Individual
DANA FAYE DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7520 W 160TH ST, OVERLAND PARK, KS 66085-8128
(913) 871-8221
Mailing address
9704 MANOR RD, LEAWOOD, KS 66206-2255
(817) 528-1244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02350
KS
Other
Enumeration date
10/02/2019
Last updated
01/17/2025
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