MEDICARE: KEDDIE L MARSH DINHAM MD

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
1	207V00000X	Obstetrics & Gynecology Physician	00027443	AL
2	207V00000X	Obstetrics & Gynecology Physician	27443	AL
3	207V00000X	Obstetrics & Gynecology Physician	ME122320	FL
4	207V00000X	Obstetrics & Gynecology Physician	47848	KY
5	207V00000X	Obstetrics & Gynecology Physician	22991	ME
6	207V00000X	Obstetrics & Gynecology Physician	60791	MT
7	207V00000X	Obstetrics & Gynecology Physician	122320	FL
8	207V00000X	Obstetrics & Gynecology Physician	276055	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326137340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEDDIE L MARSH DINHAM MD

Provider Business Mailing Address
First Line	:	75 WASHINGTON ST
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12601-2303
Country	:	US
Telephone Number	:	845-790-7999
Fax Number	:	352-567-1974

Provider Business Practice Location Address
First Line	:	75 WASHINGTON ST
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12601-2303
Country	:	US
Telephone Number	:	845-790-7999
Fax Number	:	352-567-1974

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	03/30/2022

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