Kenton Michael Dickison, PA-C

NPI #1699364398 in West Milton, Ohio

Provider Information

NPI Number: 1699364398
Entity Type: Individual
Name: Kenton Michael Dickison, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 16, 2021
Last Updated: Jan 16, 2021

Practice Location

Address: 425 HAMILTON ST
City: West Milton
State: Ohio
ZIP Code: 45383-1634
Phone: (614) 581-4971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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