Individual
MS. KAYLA ROSE DIEBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1600 CHARLES PL, MANHATTAN, KS 66502-2750
(785) 537-4200
(785) 537-4354
Mailing address
1600 CHARLES PL, MANHATTAN, KS 66502-2750
(785) 537-4200
(785) 537-4354
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
45777
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1615588
BCBS OF KS
—
05
—
200347920A
—
KS
01
—
P00281161
RAILROAD MEDICARE
—
Enumeration date
10/11/2005
Last updated
07/05/2022
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