Individual
KRISTIN LYNN DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 GATEWAY CENTER DRIVE, KERNERSVILLE, NC 27284-2999
(336) 996-9500
(336) 996-2354
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2014-01256
NC
Other
Enumeration date
06/23/2011
Last updated
12/23/2021
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