Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelley Marie Dickson, DO

Individual provider Family Medicine Physician · NPI 1366071425

Kelley Marie Dickson, DO is a Family Practice in Springfield, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Clinical Specialty Associates, a 156-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1260 E Woodland Ave Ste 200
Springfield, PA 19064-3956
Phone: (610) 690-4490
Fax: (610) 328-9391
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS022928 (PA)

Record details

NPI number1366071425
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing address1260 E. Woodland Ave, Ste 200, Springfield, PA 19064-3956

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Clinical Specialty Associates — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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