MEDICARE: DR. J KEVIN DICKINSON D.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
1	111N00000X	Chiropractor	CH8898	FL

General Provider Information

NPI Number	:	1831231273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. J KEVIN DICKINSON D.C.

Provider Business Mailing Address
First Line	:	171 52ND SQ
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32968-2504
Country	:	US
Telephone Number	:	772-643-1937
Fax Number	:

Provider Business Practice Location Address
First Line	:	2050 40TH AVE STE 5
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-2467
Country	:	US
Telephone Number	:	772-907-5827
Fax Number	:

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

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	01/08/2024

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