Dickson, Karen Kenney

Dickson, Karen Kenney is an individual health care provider with primary practice located at 1930 Coon Rapids Blvd Nw , Coon Rapids MN 55433-4708. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Dickson, Karen Kenney can be contacted via phone (763) 746-9583.

Contact Information

Primary practice address
1930 Coon Rapids Blvd Nw Coon Rapids MN 55433-4708
Phone: (763) 746-9583
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 31904 Minnesota
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 31904 Minnesota

Profile Details

NPI number 1821021924
LBN Legal business name Dickson, Karen Kenney
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jan 3rd, 2014 - about 12 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 1821021924 NPPES
Minnesota Other 101741 U-CARE
Minnesota Other HP20455 U-CARE
Minnesota Other 0804006 U-CARE
Minnesota Other 0T553DI U-CARE
Minnesota MEDICAID 267588900 U-CARE

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