Stone, Dixie Davidson

Stone, Dixie Davidson is an individual health care provider with primary practice located at 439 E Pleasant St , Cynthiana KY 41031-1827. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Stone, Dixie Davidson can be contacted via phone (859) 234-4494.

Contact Information

Primary practice address
439 E Pleasant St Cynthiana KY 41031-1827
Fax: (859) 234-4498
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA910 Kentucky

Profile Details

NPI number 1265443006
LBN Legal business name Stone, Dixie Davidson
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 19th, 2015 - about 10 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 1265443006 NPPES
Kentucky MEDICAID 7100086160
Kentucky Other PA910

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