IndividualActive
Donald Dick
NPI 1679926448 · Physician Assistant · Radcliff, KY
Provider details
- NPI number
- 1679926448
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
650 W Lincoln Trail Blvd Ste B
Radcliff, KY 40160-2681
Phone: (270) 352-4601
Fax: (270) 352-4600
Approximate (ZIP-level) locationGet directions
Mailing address
650 W Lincoln Trail Blvd
Radcliff, KY 40160-2681
Registry dates
- Enumerated
- 2016-07-18
- Last updated
- 2023-06-21
- Certified
- 2023-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.