Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kylie Marie Dunn

Individual provider Physician Assistant · NPI 1861295685

Kylie Marie Dunn is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2025, 1 year ago. Practices with Lake Michigan Emergency Specialists, PLLC, a 36-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2025
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Practice location Address checks out

1049 Jackson St NW
Grand Rapids, MI 49504-5481
Phone: (616) 254-9944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601013398 (MI)

Record details

NPI number1861295685
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Lake Michigan Emergency Specialists, Pllc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Rapids