Individual
DR. KALEB A DIEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1211 S 40TH AVE, YAKIMA, WA 98908-3961
(509) 966-2966
(509) 966-3230
Mailing address
1211 S 40TH AVE, YAKIMA, WA 98908-3961
(509) 966-2966
(509) 966-3230
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60610901
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2059167
—
WA
Enumeration date
10/10/2012
Last updated
06/29/2016
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