NPI 1003971169
Kim Marie Dickson, BACHELORS
Practice location
- Address
- 109 W Watauga Ave Watauga Behavioral Health, Johnson City, TN 37604
- Phone
- (423) 232-2788
- Mailing address
- PO Box 9054, Gray, TN 37615-9054
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003971169
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Dec 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.