Individual
KELLY DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 HANKS ST, SUITE A, LUFKIN, TX 75904-5411
(936) 632-3820
Mailing address
1501 HANKS ST, SUITE A, LUFKIN, TX 75904-5411
(936) 632-3820
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
11268
TX
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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