person
Kenneth Eugene Lyda, FNP
Family Nurse Practitioner in Atlanta, Georgia
NPI 1043215999

Kenneth Eugene Lyda is a Family Nurse Practitioner based in Atlanta, GA and is specialized in Family. Kenneth Eugene Lyda practices in Atlanta, GA and has the professional credentials of FNP. The NPI Number for Kenneth Eugene Lyda is 1043215999 and holds a License No. 124797 (Georgia).

The current practice location address for Kenneth Eugene Lyda is 275 Collier Rd Nw, Atlanta, GA and can be reached out via phone at 404-605-2800 and via fax at 404-351-5983.

Location: 275 Collier Rd Nw, Atlanta, GA, 30309-1709
person
Provider Profile Details
NPI Number
1043215999
Provider Name
Kenneth Eugene Lyda
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
275 Collier Rd Nw, Atlanta, GA, 30309-1709
Phone Number
404-605-2800
Fax Number
404-351-5983
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000925801P 05 GA
institution
Provider Business Practice Location Address Details
Address
275 Collier Rd Nw
City
State
Zip
30309-1709
Phone Number
404-605-2800
Fax Number
404-351-5983
person
Provider Business Mailing Address Details
Address
275 Collier Rd Nw
City
State
Zip
30309-1709
Phone Number
404-605-2800
Fax Number
404-351-5983
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
124797 (Georgia)
Definition
Definition to come...
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