| Doctor Name: | MR. JEROME ANTHONY DIXON |
| NPI Number: | 1215919451 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 02320 |
| Business Practice Address: | 150 W Bear Track Rd Campbellsville, KY - 427188709 |
| Business Phone Number: | 2704658133 |
| Business Fax Number: | 2707891543 |
| Mailing Address: | 150 W Bear Track Rd, CAMPBELLSVILLE |
| State: | KY |
| Postal Code: | 427188709 |
| Phone Number: | 2704658133 |
| Fax Number: | 2707891543 |
| NPI Enumeration Date: | 11/15/2005 |
| NPI Last Update Date: | 12/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 02320 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |