Individual
JOHNATHON KIRK DIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-1999
(785) 350-3111
Mailing address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
43876
KS
Other
Enumeration date
03/27/2023
Last updated
03/28/2023
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