Dyckman, Kimberly Dawn

Dyckman, Kimberly Dawn is an individual health care provider with primary practice located at 1100 Northside Forsyth Dr Suite 200, Cumming GA 30041-6012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dyckman, Kimberly Dawn can be contacted via phone (770) 887-2323.

Contact Information

Primary practice address
1100 Northside Forsyth Dr Suite 200 Cumming GA 30041-6012
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6644 Georgia

Profile Details

NPI number 1598009557
LBN Legal business name Dyckman, Kimberly Dawn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Nov 15th, 2012 - about 14 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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