Provider / Organization | NPI | Date Certified |
---|---|---|
TAYLOR D DICKEY | 1427617216 | 2021-07-12 |
Taylor D Dickey is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1427617216. Registration indicates Taylor D Dickey is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Emergency Medicine, ) (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians)
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Taylor D Dickey DO |
Practice Office Address | 1000 OAKLAND DR KALAMAZOO, MI US |
Practice Office Telephone | 2693374400 |
Mailing Address | 1000 OAKLAND DR KALAMAZOO, MI 490081282 US |
Code | Practice | License No State |
---|---|---|
390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | 5151013897
MI |
207P00000X PRIMARY | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | 5101026190
MI |