Individual
DR. EVAN KEITH DICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 VERSAILLES RD, FRANKFORT, KY 40601-3857
(502) 695-3946
(502) 695-3847
Mailing address
601 VERSAILLES RD, FRANKFORT, KY 40601-3857
(502) 695-3946
(502) 695-3847
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TP964
KY
Other
Enumeration date
01/19/2007
Last updated
12/09/2011
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