Individual
MS. CLARICE Y. DICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.- C.
Contact information
Practice address
2161 LEXINGTON RD, 1ST FLOOR, SUITE 5, RICHMOND, KY 40475-7952
(859) 626-7794
(859) 626-4420
Mailing address
2161 LEXINGTON RD, RICHMOND, KY 40475-7952
(859) 626-7794
(859) 626-4420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA460
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183935
GROUP MEDICARE
KY
01
—
35001775
GROUP MEDICAID
KY
05
—
95901005
—
KY
Enumeration date
06/02/2005
Last updated
02/01/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us