Diefenderfer, Kim E
Diefenderfer, Kim E is an individual health care provider with primary practice located at 1121 W Michigan St , Indianapolis IN 46202-5211. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Diefenderfer, Kim E can be contacted via phone (172) 743-7153.Contact Information
Primary practice address
1121 W Michigan St
Indianapolis IN 46202-5211
Phone: (172) 743-7153
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12012261A | Indiana |
| Dental Providers / General Practice | 1223G0001X | DS027331L | Pennsylvania |
Profile Details
| NPI number | 1932172459 |
|---|---|
| LBN Legal business name | Diefenderfer, Kim E |
| Credentials | DMD, MS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Nov 8th, 2021 - about 3 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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