Marak, Dianna Lynn

Marak, Dianna Lynn is an individual health care provider with primary practice located at 20805 W 151St St Ste 400 , Olathe KS 66061-7249. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Marak, Dianna Lynn can be contacted via phone (913) 780-4900.

Contact Information

Primary practice address
20805 W 151St St Ste 400 Olathe KS 66061-7249
Phone: (913) 780-4900
Fax: (913) 780-0949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 105747 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 45060 Kansas

Profile Details

NPI number 1447209879
LBN Legal business name Marak, Dianna Lynn
Credentials ARNPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 21st, 2022 - about 2 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 1447209879 NPPES
Kansas Other 160549 BC/BS KS OUTREACH CLINICS
Kansas MEDICAID 100376280A BC/BS KS OUTREACH CLINICS
Kansas MEDICAID 100376280B BC/BS KS OUTREACH CLINICS
Kansas Other 29921019 BC/BS KS OUTREACH CLINICS

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