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Individual

DIANE ELIZABETH RASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3575
Mailing address
2524 SW KENWILL CT, LEES SUMMIT, MO 64082-1447
(816) 246-1557

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
103008
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1004155470A
KS
Enumeration date
04/24/2006
Last updated
07/08/2007
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