KELCIE DICKERSON, PA
Physician Assistant
Active
Individual
NPI: 1992105696
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PT607 (WY) |
Frequently Asked Questions
NPI 1992105696 is the National Provider Identifier for KELCIE DICKERSON, PA, a Physician Assistant provider located in Lyman, WY. This NPI was enumerated on August 29, 2014.
KELCIE DICKERSON, PA practices at 3580 STATE HIGHWAY 414, Lyman, WY 82937.
Quick Facts
- NPI
- 1992105696
- Type
- Individual
- Enumerated
- Aug 29, 2014
- Last Updated
- Aug 29, 2014
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