Provider Demographics
NPI:1073695300
Name:DIEHN, DIANE K (NMD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:K
Last Name:DIEHN
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:25055 W. VALLEY PARKWAY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061
Mailing Address - Country:US
Mailing Address - Phone:913-825-6111
Mailing Address - Fax:913-825-6115
Practice Address - Street 1:25055 W. VALLEY PARKWAY
Practice Address - Street 2:SUITE 204
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061
Practice Address - Country:US
Practice Address - Phone:913-825-6111
Practice Address - Fax:913-825-6115
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2100010175F00000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS35726011OtherBLUE CROSS BLUE SHIELD