Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 2100010 | KS |
NPI | 1073695300 |
---|---|
Provider Name | Dr. Diane K Diehn |
First Address | Overland Park, KS 66204-4000 |
Second Address | Overland Park, KS 66204-4000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
35726011 | BLUE CROSS BLUE SHIELD (01) | KS |