Dicks, Clarice Y.

Dicks, Clarice Y. is an individual health care provider with primary practice located at 2161 Lexington Rd 1St Floor, Suite 5, Richmond KY 40475-7952. 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. Dicks, Clarice Y. can be contacted via phone (859) 626-7794.

Contact Information

Primary practice address
2161 Lexington Rd 1St Floor, Suite 5 Richmond KY 40475-7952
Phone: (859) 626-7794
Fax: (859) 626-4420
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA460 Kentucky

Profile Details

NPI number 1558365825
LBN Legal business name Dicks, Clarice Y.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Feb 1st, 2016 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558365825 NPPES
Kentucky Other 183935 GROUP MEDICARE
Kentucky MEDICAID 95901005 GROUP MEDICARE
Kentucky Other 35001775 GROUP MEDICARE

Popular Providers