Individual
MS. MAGEN RENEE DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSS
Contact information
Practice address
100 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(270) 982-1244
Mailing address
244 EMMAUS CIR, ELIZABETHTOWN, KY 42701-4418
(270) 312-5402
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1213670
KY
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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