Individual
ADDIE MAE DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
740 S LIMESTONE STE K201, LEXINGTON, KY 40536-6062
(859) 323-6211
(859) 257-0491
Mailing address
4650 W SUNSET BLVD # MS 83, LOS ANGELES, CA 90027-6062
(323) 361-2101
(323) 361-1355
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
54889
KY
208000000X
Pediatrics Physician
A179419
CA
2080P0214X
Pediatric Pulmonology Physician
Primary
54889
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100613620
—
KY
Enumeration date
05/23/2017
Last updated
06/12/2025
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