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:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1912967159 | NPPES |
| Florida | Other | Y0380 | BLUE CROSS |
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