Diaz, Kathleen I

Diaz, Kathleen I is an individual health care provider with primary practice located at 200 Maine St Ste A , Lawrence KS 66044-1396. She recently has only one registered license in Behavioral Health & Social Service Providers / Family, which is considered as her primary health care specialty. Diaz, Kathleen I can be contacted via phone (785) 843-9192.

Contact Information

Primary practice address
200 Maine St Ste A Lawrence KS 66044-1396
Phone: (785) 843-9192
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Family 103TF0000X

Profile Details

NPI number 1801364906
LBN Legal business name Diaz, Kathleen I
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2018
Last updated Nov 7th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801364906 NPPES
Kansas Other 103T00000X BLUE CROSS BLUE SHIELD
Kansas Other 103T00000X BLUE CROSS BLUE SHIELD
Kansas MEDICAID 103T00000X BLUE CROSS BLUE SHIELD

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