Look up the most recent NPI and PECOS records

Kristie Dickess

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Kristie Dickess does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1134415151
Provider Type
Individual
Full Name
Dickess, Kristie
Credential
DO

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/28/2011
Last Updated
1/2/2020

Contact Information

Practice Location

1480 Carter Ave, Ashland, KY 41101-7546

(606) 329-1890

Unlisted Fax

Mailing Location

1480 Carter Ave, Ashland, KY 41101-7546

(606) 329-1890

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 03739 Kentucky
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 011465 Ohio
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Kristie Dickess

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Ashland Hospital Coporation

Runyon, Zachary

Michael E. Brock, D.O., P.S.C.

Ashland Hospital Corporation

Aim Wellness Llc

Lopez Mustafa, Alejandro Jose

Willis, Kevin J

Bellefonte Physician Services, Inc.

Eric F. Smith, Do Psc

Collins, Jennifer Gail