Provider Demographics
NPI:1629282918
Name:HARNDEN, DIADRA LEA (RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:DIADRA
Middle Name:LEA
Last Name:HARNDEN
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 W 89TH TER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-2010
Mailing Address - Country:US
Mailing Address - Phone:913-901-9446
Mailing Address - Fax:
Practice Address - Street 1:6600 COLLEGE BLVD
Practice Address - Street 2:STE. 205
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1520
Practice Address - Country:US
Practice Address - Phone:913-424-8772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1396133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered