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KENZIE DYE AGACNP,RNFA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

Provider NPI: 1811461908

Provider Information:
 KENZIE  DYE AGACNP,RNFA
Gender: F
Not Sole Proprietor

Practice Location:
3443 DICKERSON PIKE STE 190  NASHVILLE, TN 37207-2533 US
Tel: 615-860-1580  Fax: 615-860-1541

Business Mailing Address:
PO BOX 370  FORTSON, GA 31808-0370 US
Tel: --  Fax: 706-494-3008

NPI Information:
NPI: 1811461908
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
TN25241
N363LA2100XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
TN25241
N363LG0600XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
TN25241
N163WR0006XNursing Service Providers
Registered Nurse
TN55

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 363L00000X

Type:

Classification:



Definition:



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