Individual
KEVIN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 825-1604
Mailing address
107 SYCAMORE LN, COATESVILLE, PA 19320-4401
(610) 486-1131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN335364L
PA
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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