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Contact Information

KEVIN W DICKEY, MD
365 MONTAUK AVE
NEW LONDON, CT06320-4700
 Phone: 860-442-0711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for KEVIN W DICKEY · (Male)

NPI Number 1639150055
Status Active
Credentials MD
Entity Individual
Enumeration date 11/11/2005
Last updated 04/22/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • CT License # 32097
  • RI License # 37760
  • SC License # 37760
  • CT Medicaid 001320978
Hospital affiliation(s)
  • MUSC MEDICAL CENTER - (Acute Care)
    169 ASHLEY AVE
    CHARLESTON, SC 29425
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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