Individual provider · Type 1 NPI

Kelsey Miller Dyes, CPNP-AC/PC

Pediatric Nurse Practitioner · Macon, GA

NPI number 1083107502 Active

Practice location

1062 Forsyth St Ste 3A
Macon, GA 31201-8640

Mailing address

2835 Brandywine Rd Ste 400
Atlanta, GA 30341-5540

Other practice locations

  • 777 Hemlock St, Macon, GA 31201-2102 · (478) 633-9060
  • 840 Pine St Ste 900, Macon, GA 31201 · (478) 633-9060
  • 1049 N Houston Rd, Warner Robins, GA 31093-1505 · (478) 922-9001

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XRN051783939 (GA)
Critical Care Pediatric Nurse Practitioner 363LP0222XRN235412 (GA)
Pediatric Nurse Practitioner Primary 363LP0200XRN235412 (GA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1083107502

Kelsey Miller Dyes, CPNP-AC/PC's National Provider Identifier is 1083107502, issued on Jun 9, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Macon, GA. The record was last updated on Jan 26, 2021.