MICHAEL RAY DICKERSON

PRAIRIE VILLAGE, KS
NPI1447934526
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KS  53-82295-122)
Enumeration Date2023-06-09
Last Update Date2025-01-28
Business Address
Dr. MICHAEL RAY DICKERSON DNP
8016 STATE LINE RD STE 205
PRAIRIE VILLAGE, KS 66208-3713
Phone number: 913-251-9207
Mailing Address
Dr. MICHAEL RAY DICKERSON DNP
8016 STATE LINE RD STE 205
PRAIRIE VILLAGE, KS 66208-3713
Phone number: