Provider Demographics
NPI:1225082712
Name:KATT, DIANA K (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:K
Last Name:KATT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 COMMERCIAL CIR
Mailing Address - Street 2:
Mailing Address - City:WAMEGO
Mailing Address - State:KS
Mailing Address - Zip Code:66547-9690
Mailing Address - Country:US
Mailing Address - Phone:785-456-2207
Mailing Address - Fax:
Practice Address - Street 1:1704 COMMERCIAL CIR
Practice Address - Street 2:
Practice Address - City:WAMEGO
Practice Address - State:KS
Practice Address - Zip Code:66547-9690
Practice Address - Country:US
Practice Address - Phone:785-456-2207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-20161207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100163720BMedicaid
KS067200OtherMEDICARE PTAN
D17385Medicare UPIN