Dykes, Kimberly Miller
Dykes, Kimberly Miller is an individual health care provider with primary practice located at 4215 Kelson Ave Ste D , Marianna FL 32446-6555. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dykes, Kimberly Miller can be contacted via phone (850) 317-6378.Contact Information
Primary practice address
4215 Kelson Ave Ste D
Marianna FL 32446-6555
Phone: (850) 317-6378
Fax: (850) 308-2153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9204166 | Florida |
Profile Details
| NPI number | 1629391883 |
|---|---|
| LBN Legal business name | Dykes, Kimberly Miller |
| Credentials | ARNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2010 |
| Last updated | Mar 10th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629391883 | NPPES |
| Florida | MEDICAID | 002408200 | |
| Florida | Other | Y04LT |
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