Individual provider · Type 1 NPI

Daniel James Dickerson, DO

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1700726635 Active

Practice location

2195 Harrodsburg Road Ste. 125
Lexington, KY 40504-3504

Call (859) 257-4732 Map

Fax (859) 323-6661

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700726635

Daniel James Dickerson, DO's National Provider Identifier is 1700726635, issued on Mar 31, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Mar 31, 2026.