Dennis Michael Flickinger, OT

Individual provider Active NPI Occupational Therapist · Horse Cave, KY

NPI 1356426191 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1356426191
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
R1107 (KY)
Practice address
313 Crestview Dr
Horse Cave, KY 42749-1212
Phone
(270) 786-5473
Fax
(270) 786-1655
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
R1107KYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X R1107 KY Yes

Addresses

Primary practice location

313 Crestview Dr
Horse Cave, KY 42749-1212

Mailing address

313 Crestview Dr
Horse Cave, KY 42749-1212
Phone (270) 786-5473

Other identifiers

IdentifierTypeStateIssuer
88011077MedicaidKY

Other providers in Horse Cave, KY

All providers in Horse Cave, KY · Occupational Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.