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Contact Information

KIMBERLY D DICKERSON, RN
79 DEREK LN
LAPLACE, LA70068-8401
 Phone: 985-618-3116
 Fax: 985-618-3199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KIMBERLY D DICKERSON · (Female)

NPI # 1366632119
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 07/27/2007
Last updated 07/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 7282
  • LA License # 75102
Hospital affiliation(s) Not Available
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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