Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RICHARD TIMOTHY DICKERSON JR., CRNA
Active Sole ProprietorMR. RICHARD TIMOTHY DICKERSON JR., CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in LIBERAL, Kansas. NPI 1518033612 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · LIBERAL, KS
Registration Details
- NPI Number
- 1518033612
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2006 (19.755090129518 yrs)
- Last Updated
- May 24, 2013
- Licenses
-
1-08001 (AL)55580 (KS)199844 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
315 W 15TH STSWMC - ANESTHESIALIBERAL, KS, 679012455Browse KS providers · Browse ZIP 67901
- Phone
- 6206296682
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in LIBERAL, KS
| Name | Credential | NPI |
|---|---|---|
| MR. JEFFERY HODGE REID SR. | CRNA | 1295848224 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.