Individual
JOHN WARNER DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
330 NE BARRY RD, KANSAS CITY, MO 64155-2724
(785) 969-2304
Mailing address
330 NE BARRY RD, KANSAS CITY, MO 64155-2724
(785) 969-2304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011034132
MO
363LF0000X
Family Nurse Practitioner
53-75495-082
KS
Other
Enumeration date
09/28/2011
Last updated
10/13/2017
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