MS. KATHLEEN DYER WHNP NPI 1669479218

NPI Information

  • NPI: 1669479218
  • Provider Name: MS. KATHLEEN DYER, WHNP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • Address: 505 N JACKSON ST
    JACKSON, MI
    ZIP 49201
  • Phone: (517) 748-5500

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NPI Details

MS. Kathleen Dyer, WHNP is a women's health nurse practitioner in Jackson, MI. MS. Kathleen Dyer, WHNP NPI is 1669479218. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

505 N JACKSON ST
JACKSON, MI
ZIP 49201-266
Phone: (517) 748-5500
Fax: (517) 784-6741

The enumeration date for this NPI number is 6/28/2005 and was last updated on 8/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's Health4704084611MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10N81890004MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE PART B #
2Q05257MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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