Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELCIE DICKERSON, PA
Active Sole ProprietorKELCIE DICKERSON, PA is a Physician Assistant healthcare provider located in LYMAN, Wyoming. NPI 1992105696 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LYMAN, WY
Registration Details
- NPI Number
- 1992105696
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 29, 2014 (11.918666706681 yrs)
- Last Updated
- Aug 29, 2014
- License
-
PT607 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3580 STATE HIGHWAY 414LYMAN, WY, 829370001Browse WY providers · Browse ZIP 82937
- Phone
- 3077862042
- Fax
- 3077864016
- Primary Specialty
-
Physician Assistant
363A00000X
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.