Individual
KIMBERLY LAUREN DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7640 SYLVANIA AVE STE F, SYLVANIA, OH 43560-9263
(855) 565-8346
Mailing address
3156 DUSTIN RD STE 100, OREGON, OH 43616-4300
(855) 565-8346
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704276085
MI
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0029679
OH
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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