Individual
KELLIE DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 W IDLEWILD DR, EVANSVILLE, IN 47710-3149
(214) 562-4211
Mailing address
1002 W IDLEWILD DR, EVANSVILLE, IN 47710-3149
(214) 562-4211
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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