Diller, Kathleen M

Diller, Kathleen M is an individual health care provider with primary practice located at 1101 26Th St S , Great Falls MT 59405-5161. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Diller, Kathleen M can be contacted via phone (406) 731-8888.

Contact Information

Primary practice address
1101 26Th St S Great Falls MT 59405-5161
Fax: (406) 731-8888
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 59892 Montana

Profile Details

NPI number 1407053697
LBN Legal business name Diller, Kathleen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Apr 25th, 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 1407053697 NPPES
South Carolina MEDICAID 300436

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