Provider Demographics
NPI:1265408835
Name:CARVER, DIANA L (DO)
Entity type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:L
Last Name:CARVER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 SW 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-3904
Mailing Address - Country:US
Mailing Address - Phone:785-234-8601
Mailing Address - Fax:785-234-2575
Practice Address - Street 1:2200 SW 10TH AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-3904
Practice Address - Country:US
Practice Address - Phone:785-234-8601
Practice Address - Fax:785-234-2575
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-25857207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine