Individual
DIANA GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12122 STATE LINE RD, LEAWOOD, KS 66209-1254
(913) 345-9377
(913) 345-0957
Mailing address
12122 STATE LINE RD, LEAWOOD, KS 66209-1254
(913) 345-9377
(913) 345-0957
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12823
KS
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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