Individual
CHARLENE D. DYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 N BIRCH ST, CIMARRON, KS 67835-0328
(316) 251-1369
(620) 855-2221
Mailing address
PO BOX 328, CIMARRON, KS 67835-0328
(316) 251-1369
(620) 855-2221
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/29/2011
Last updated
03/30/2011
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