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Individual

DR. DORA A PICON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
789 EASTERN BYP, SUITE 25, RICHMOND, KY 40475-2415
(859) 623-3560
(859) 623-3763
Mailing address
789 EASTERN BYP, SUITE 25, RICHMOND, KY 40475-2415
(859) 623-3560
(859) 623-3763

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
26378
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64263783
KY
Enumeration date
05/18/2006
Last updated
08/19/2010
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