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Individual

MR. PATRICK A DILLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
497 TUCKER DR, MAYSVILLE, KY 41056-9111
(606) 759-4678
(606) 759-4834
Mailing address
497 TUCKER DR, MAYSVILLE, KY 41056-9111
(606) 759-4678
(606) 759-4834

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT001627
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000049625
ANTHEM BC/BS
KY
01
6215
CHA HEALTH
KY
05
87016275
KY
Enumeration date
07/08/2005
Last updated
07/08/2007
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