Male or Other

Kenneth Dye PA

Medical Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Kenneth Dye PA

NPI Number

1093796229

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/05/2005

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA1505

Contact
Information

Purpose

Mailing
Location

Address

4500 SAN PABLO RD S
4500 SAN PABLO RD S

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32224-1865
32224-1865

Country

US
US

Telephone Number

N/A
(904) 953-2000

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

kdye396427@ehrdirect.mayoclinicmsg.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

4500 San Pablo Rd SJacksonville, FL322241865US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/01/2020

Provider Address

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