Individual
KIMBERLY DISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
407 S CLAIRBORNE RD STE 104, OLATHE, KS 66062-1744
(913) 648-2266
Mailing address
5811 W 78TH TER, PRAIRIE VILLAGE, KS 66208-4622
(773) 419-9214
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209-007802
IL
Other
Enumeration date
10/06/2009
Last updated
08/06/2014
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