Individual
RODNEY EARL DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
639 N MULBERRY ST, ELIZABETHTOWN, KY 42701-1931
(270) 737-4600
(270) 737-1722
Mailing address
639 N MULBERRY ST, ELIZABETHTOWN, KY 42701-1931
(270) 737-4600
(270) 737-1722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
3005877
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
74733
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3005877
APRN
KY
01
—
50036789
PASSPORT
—
01
—
74733
AANA
KY
Enumeration date
01/18/2006
Last updated
02/16/2016
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