Individual
KACI ALYS DYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
308 W HIGHLAND BLVD, INVERNESS, FL 34452-4716
(352) 726-8353
Mailing address
PO BOX 249, INGLIS, FL 34449-0249
(352) 572-2788
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11011542
FL
Other
Enumeration date
03/04/2021
Last updated
06/02/2022
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