Provider Demographics
NPI:1396468740
Name:DIXON, KIARA L (MHA,BS, LPN)
Entity type:Individual
Prefix:MS
First Name:KIARA
Middle Name:L
Last Name:DIXON
Suffix:
Gender:F
Credentials:MHA,BS, LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 BUSINESS PARK DR STE 208
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6587
Mailing Address - Country:US
Mailing Address - Phone:757-589-4746
Mailing Address - Fax:
Practice Address - Street 1:1353 S MILITARY HWY
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2513
Practice Address - Country:US
Practice Address - Phone:757-589-4746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-21
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health