Individual
DIANE MARIE CIBRIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-5364
(913) 588-3961
(913) 588-3867
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-3961
(913) 588-3867
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301073860
MI
207RN0300X
Nephrology Physician
Primary
4301073860
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4117306
—
MI
Enumeration date
10/19/2006
Last updated
05/31/2018
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