Individual
MRS. SHARLETTE NMN DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
800 ZORN AVE, C&P DEPT, LOUISVILLE, KY 40206-1433
(502) 287-5307
(502) 287-6988
Mailing address
4612 GLENARM RD, CRESTWOOD, KY 40014-9587
(502) 287-5307
(502) 287-6988
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1036511
KY
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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