Individual
KARA HARTON DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
270 BURLEY AVE, HOPKINSVILLE, KY 42240-8725
(270) 887-6767
(270) 887-6161
Mailing address
5310 PEMBROKE RD, HOPKINSVILLE, KY 42240-8904
(270) 305-3409
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1657
KY
363AM0700X
Medical Physician Assistant
TC047
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100321710
—
KY
Enumeration date
09/09/2011
Last updated
11/19/2020
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