Mr. Richard Timothy Dickerson Jr. is a Liberal, Kansas based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Mr. Richard Timothy Dickerson Jr. is 55580 for Anesthesia Administration in Kansas. his current practice location is 315 W 15th St, Swmc - Anesthesia, Liberal. Patients can reach him at 620-629-6682. Mr. Richard Timothy Dickerson Jr. is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1518033612. Mr. Richard Timothy Dickerson Jr. is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mr. Richard Timothy Dickerson Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Gender:
Male
Practice Address:
315 W 15th St, Swmc - Anesthesia, Liberal, Kansas, 67901-2455
Phone:
620-629-6682
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1518033612
NPI Enumeration Date:
28 Nov, 2006
NPI Last Update On:
24 May, 2013
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Richard Timothy Dickerson Jr. are as mentioned below.
License Number
Specialization
State
Status
55580
Anesthesia Administration
Kansas
Primary
1-08001
Anesthesia Administration
Alabama
Secondary
199844
Anesthesia Administration
Colorado
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Richard Timothy Dickerson Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
999999
Medicaid
Alabama
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
315 W 15th St, Swmc - Anesthesia Liberal, Kansas
Zip:
67901-2455
Phone Number:
620-629-6682
Fax Number:
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Patients can reach Mr. Richard Timothy Dickerson Jr. at 315 W 15th St, Swmc - Anesthesia, Liberal, Kansas or can call to book an appointment on 620-629-6682.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.