Individual
MR. ADAM FRANCIS DICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2605 KENTUCKY AVE, DOB 3 SUITE 601, PADUCAH, KY 42003-3800
(270) 408-4368
(270) 408-3272
Mailing address
2605 KENTUCKY AVE, DOB 3 SUITE 601, PADUCAH, KY 42003-3800
(270) 408-4368
(270) 408-3272
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1086041
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1086041
MILITARY
—
01
—
1860
STATE LICENSE
KY
Enumeration date
06/24/2009
Last updated
12/03/2020
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