Dixon, Timothy K

Dixon, Timothy K is an individual health care provider with primary practice located at 336 29Th St , Ashland KY 41101-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Dixon, Timothy K can be contacted via phone (606) 324-4404.

Contact Information

Primary practice address
336 29Th St Ashland KY 41101-1900
Fax: (606) 325-6822
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 29603 Kentucky

Profile Details

NPI number 1225026438
LBN Legal business name Dixon, Timothy K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated May 18th, 2022 - about 2 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 1225026438 NPPES
Kentucky MEDICAID 64296031

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