Dyson, Kim A

Dyson, Kim A is an individual health care provider with primary practice located at 787 37Th St Suite E-170, Vero Beach FL 32960-7305. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Dyson, Kim A can be contacted via phone (772) 770-6116.

Contact Information

Primary practice address
787 37Th St Suite E-170 Vero Beach FL 32960-7305
Phone: (772) 770-6116
Fax: (772) 564-6120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP 1498862 Florida

Profile Details

NPI number 1912967159
LBN Legal business name Dyson, Kim A
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Feb 15th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912967159 NPPES
Florida Other Y0380 BLUE CROSS

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