Myers, Diane

Myers, Diane is an individual health care provider with primary practice located at 2707 E 21St St N , Wichita KS 67214-2249. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Myers, Diane can be contacted via phone (316) 691-0249.

Contact Information

Primary practice address
2707 E 21St St N Wichita KS 67214-2249
Phone: (316) 691-0249
Fax: (316) 691-9875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 961 Kansas
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY01796 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW001771 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA54144 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-01466 Kansas

Profile Details

NPI number 1063639524
LBN Legal business name Myers, Diane
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Feb 20th, 2020 - about 4 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 1063639524 NPPES
Kansas MEDICAID 100212200B

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