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Individual

MR. DENNIS MICHAEL FLICKINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
313 CRESTVIEW DR, HORSE CAVE, KY 42749-1212
(270) 786-5473
(270) 786-1655
Mailing address
313 CRESTVIEW DR, HORSE CAVE, KY 42749-1212
(270) 786-5473
(270) 786-1655

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R1107
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
88011077
KY
Enumeration date
10/26/2006
Last updated
07/08/2007
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