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NPI Code Detail

MEDICARE: MR. KYE SINCLAIR DIXSON PA-C

MEDICARE: MR. KYE SINCLAIR DIXSON PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA.0006751CO
2363A00000XPhysician AssistantLA
3363A00000XPhysician AssistantPA182205OR
4363A00000XPhysician AssistantPA61529864WA

General Provider Information

NPI Number : 1619328556
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KYE SINCLAIR DIXSON PA-C
Provider Business Mailing Address
First Line : 731 N IRON BRIDGE WAY
Second Line :
City : SPOKANE
State : WA
Zip : 99202-4926
Country : US
Telephone Number : 509-444-8888
Fax Number :
Provider Business Practice Location Address
First Line : 1001 W 2ND AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99201-4503
Country : US
Telephone Number : 509-444-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2016
Last Update Date : 12/09/2025

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