Dixon, Kelly Angel

Dixon, Kelly Angel is an individual health care provider with primary practice located at 1745 Enterprise Dr Bldg 2 Suite I-64, Fairfield CA 94533-5801. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Dixon, Kelly Angel can be contacted via phone (707) 427-6640.

Contact Information

Primary practice address
1745 Enterprise Dr Bldg 2 Suite I-64 Fairfield CA 94533-5801
Phone: (707) 427-6640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RW0949 California

Profile Details

NPI number 1346305075
LBN Legal business name Dixon, Kelly Angel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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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