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Individual

MR. TIMOTHY E DINEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 ALYCIA DRIVE, RICHMOND, KY 40475
(859) 626-1504
(859) 626-3663
Mailing address
103 ALYCIA DR, RICHMOND, KY 40475-2368
(859) 626-1504
(859) 626-3663

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27798
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64277981
KY
Enumeration date
05/24/2006
Last updated
09/27/2017
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