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Individual

DAVID DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 268-5775
(316) 291-7496
Mailing address
PO BOX 47222, WICHITA, KS 67201-7222
(316) 268-5775
(316) 291-7496

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95141447
CA
363LF0000X
Family Nurse Practitioner
Primary
44490
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100283030C
KS
Enumeration date
06/02/2006
Last updated
10/30/2018
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