Jerry D Dickess

NPI #1033697990 in Ashland, Kentucky

Provider Information

NPI Number
1033697990
Entity Type
Individual
Name
Jerry D Dickess
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Enumeration Date
Aug 2, 2018
Last Updated
May 24, 2022

Practice Location

Address
613 23RD ST STE G10
ZIP Code
41101-2886
Phone
(064) 085-8646

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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