Individual
KIM A DYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
787 37TH ST, SUITE E-170, VERO BEACH, FL 32960-7305
(772) 770-6116
(772) 564-6120
Mailing address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP 1498862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y0380
BLUE CROSS
FL
Enumeration date
03/23/2006
Last updated
02/15/2008
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