DR. Thomas Kevin Dickerson, D.C., D.I.C.C.P.

NPI #1548300163 in Washington, Illinois

Provider Information

NPI Number: 1548300163
Entity Type: Individual
Name: DR. Thomas Kevin Dickerson, D.C., D.I.C.C.P.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C., D.I.C.C.P.
Enumeration Date: Feb 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2362 WASHINGTON RD
City: Washington
State: Illinois
ZIP Code: 61571-1855
Phone: (309) 745-8612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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