Individual
KIMBERLY ANN DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
4381 BARDSTOWN RD, ELIZABETHTOWN, KY 42701-6724
(270) 401-4381
Mailing address
4381 BARDSTOWN RD, ELIZABETHTOWN, KY 42701-6724
(270) 401-4381
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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