Individual
DR. DENISE THOMPSON DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 OLD BLUEGRASS AVE, SUITE 300, LOUISVILLE, KY 40215-1162
(502) 366-1388
(502) 366-3317
Mailing address
11911 CREEL LODGE DR, LOUISVILLE, KY 40223-5101
(502) 724-2449
(502) 366-3317
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
22850
KY
207N00000X
Dermatology Physician
Primary
22850
KY
Other
Enumeration date
12/01/2006
Last updated
06/08/2009
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