Individual
MS. SYDNE ISABELLA DIGIACOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-7220
(913) 588-3974
(913) 588-0593
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-3974
(913) 588-0359
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518329275
KANSAS BOARD OF HEALING ARTS- POSTGRADUATE PERMIT
KS
Enumeration date
03/22/2016
Last updated
05/27/2016
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