Individual
ODELL LEVI DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
5000 KY ROUT 321, PRESTONSBURG, KY 41653
(606) 889-3652
Mailing address
5000 KY ROUTE 321, PRESTONSBURG, KY 41653-9113
(606) 889-3652
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
07/21/2025
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