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Individual

DR. KENNETH BRITT DYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, PMHNP-BC

Contact information

Practice address
21907 64TH AVE W STE 200, MOUNTLAKE TERRACE, WA 98043-6200
(425) 640-7009
Mailing address
10333 19TH AVE, SE, S #109, S #109, EVERETT, WA 98208
(425) 742-4600
(425) 225-6859

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60076562
WA
363L00000X
Nurse Practitioner
AP60863385
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60863385
WA

Other

Enumeration date
06/27/2018
Last updated
06/19/2024
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