Dickey, Kevin Webster

Dickey, Kevin Webster is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-2016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Dickey, Kevin Webster can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-2016
Phone: (843) 792-1414
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 37760 South Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 37760 South Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2015-01148 North Carolina

Profile Details

NPI number 1639150055
LBN Legal business name Dickey, Kevin Webster
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Apr 20th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639150055 NPPES
Connecticut MEDICAID 001320978

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