Individual
MILEY DIEM LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1841 N ROCK ROAD CT STE 300, WICHITA, KS 67206-4212
(316) 239-1229
Mailing address
1841 N ROCK ROAD CT STE 300, WICHITA, KS 67206-4212
(316) 239-1229
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
K03-15-9576
KS
Other
Enumeration date
08/15/2021
Last updated
08/15/2021
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