person
Donald Richard Dickerson III, MDSTUDENT
Student in an Organized Health Care Education/Training Program in Louisville, Kentucky
NPI 1548904865

Donald Richard Dickerson III is a Student in an Organized Health Care Education/Training Program based in Louisville, KY. Donald Richard Dickerson III practices in Louisville, KY and has the professional credentials of MDSTUDENT. The NPI Number for Donald Richard Dickerson III is 1548904865 and holds a License No. (Kentucky).

The current practice location address for Donald Richard Dickerson III is 500 S Preston St Rm 305, Louisville, KY and can be reached out via phone at 502-852-5193.

Location: 500 S Preston St Rm 305, Louisville, KY, 40202-1702
person
Provider Profile Details
NPI Number
1548904865
Provider Name
Donald Richard Dickerson III
Credential
MDSTUDENT
Provider Entity Type
Individual
Gender
Male
Address
500 S Preston St Rm 305, Louisville, KY, 40202-1702
Phone Number
502-852-5193
Fax Number
Provider Enumeration Date
04/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 S Preston St Rm 305
City
State
Zip
40202-1702
Phone Number
502-852-5193
Fax Number
person
Provider Business Mailing Address Details
Address
500 S Preston St Rm 305
City
State
Zip
40202-1702
Phone Number
502-852-5193
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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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