Individual
DR. KAREN M DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1221 MERCANTILE LN, KAISER PERMANENTE LARGO MEDICAL CENTER, LARGO, MD 20774-5374
(301) 618-5500
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D63171
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036757300
—
DC
05
—
407964700
—
MD
01
—
76881001
BLUE SHIELD
MD
01
—
H9140014
BLUE SHIELD
DC
Enumeration date
06/23/2006
Last updated
03/19/2013
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