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

Mr. Kevin Dickerson, APRN

Individual provider Certified Registered Nurse Anesthetist · NPI 1629636998

Mr. Kevin Dickerson, APRN is a Certified Registered Nurse Anesthetist (CRNA) in Louisville, Kentucky. Qualified in 2018, 8 years ago. Practices with Professional Anesthesia Services of Kentucky PLLC, a 346-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
8
Licensed in
KY
In the registry since
2019
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

200 E Chestnut St
Louisville, KY 40202-1800
Phone: (502) 636-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 3013376 (KY)

Record details

NPI number1629636998
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 3, 2019
Last updated in NPPESJune 6, 2019

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Professional Anesthesia Services Of Kentucky Pllc — 346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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