Provider Demographics
NPI:1679650618
Name:DICKINSON, CATHERINE ROGERS (PA-C, ATC)
Entity type:Individual
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First Name:CATHERINE
Middle Name:ROGERS
Last Name:DICKINSON
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Gender:F
Credentials:PA-C, ATC
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Mailing Address - Street 1:230 LEXINGTON GREEN CIR STE 600
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3326
Mailing Address - Country:US
Mailing Address - Phone:859-971-4695
Mailing Address - Fax:859-971-4604
Practice Address - Street 1:1760 NICHOLASVILLE RD STE 101
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1410
Practice Address - Country:US
Practice Address - Phone:859-899-7950
Practice Address - Fax:859-260-5150
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2020-12-03
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical