Individual
KEVIN WEBSTER DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
(843) 876-1344
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2015-01148
NC
2085R0202X
Diagnostic Radiology Physician
32097
CT
2085R0202X
Diagnostic Radiology Physician
37760
RI
2085R0202X
Diagnostic Radiology Physician
37760
SC
2085R0204X
Vascular & Interventional Radiology Physician
32097
CT
2085R0204X
Vascular & Interventional Radiology Physician
37760
RI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
37760
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001320978
—
CT
Enumeration date
11/11/2005
Last updated
04/22/2026
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