Individual
KATHY DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH AIDE
Contact information
Practice address
22 PRIVATE RD 4252, PEDRO, OH 45659
(740) 532-4399
Mailing address
22 PRIVATE ROAD 4252, PEDRO, OH 45659-9093
(740) 532-4399
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3747P1801X
—
OH
Enumeration date
08/23/2022
Last updated
08/23/2022
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