Individual
MS. KELLI TALBOT DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, CNM
Contact information
Practice address
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343-9664
(762) 822-2598
Mailing address
6008 BRUNJES LN, COLUMBUS, GA 31909-4290
(706) 577-4898
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN144700
GA
367A00000X
Advanced Practice Midwife
RN144700
GA
Other
Enumeration date
01/09/2007
Last updated
06/24/2020
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