Individual provider · Type 1 NPI

Kaylee Diekevers, PA-C

Dermatology Physician · Grand Rapids, MI

NPI number 1346938115 Active

Practice location

1000 E Paris Ave SE Ste 104
Grand Rapids, MI 49546-3680

Fax (616) 328-6189

Mailing address

43151 Dalcoma Dr Ste 4
Clinton Township, MI 48038-6306

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X5601012583 (MI)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1346938115

Kaylee Diekevers, PA-C's National Provider Identifier is 1346938115, issued on Apr 28, 2023. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 22, 2026.