Individual
DIANE ORTH-BAALMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9107
(316) 689-9354
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20330
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100202090A
—
KS
01
—
100210
HPK
KS
01
—
101235
BCBS
KS
01
—
12149387
MULTIPLAN
KS
01
—
16860
COVENTRY
KS
01
—
698
PHS
KS
Enumeration date
08/25/2006
Last updated
02/05/2013
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