Individual
MICHAEL DYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204
(913) 632-2642
Mailing address
820 S WINDSOR RD, OLATHE, KS 66061-4958
(913) 488-6580
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-78370-111
KS
Other
Enumeration date
08/06/2018
Last updated
09/05/2018
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