Individual
DR. DOUGLAS JAMES DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 ROCKCREEK PKWY, KANSAS CITY, MO 64117-2536
(816) 201-2273
Mailing address
13008 FALMOUTH ST, LEAWOOD, KS 66209-1788
(913) 766-1110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2011012590
MO
207Q00000X
Family Medicine Physician
35-06-5652
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0979160
—
OH
Enumeration date
07/28/2011
Last updated
07/28/2011
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