Individual
NENITA S DIEGO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
57950 LEAVENWORTH ST, 22D MEDICAL GROUP, MCCONNELL AFB, KS 67221-3506
(316) 759-5864
(316) 759-5038
Mailing address
57950 LEAVENWORTH ST, 22D MEDICAL GROUP, MCCONNELL AFB, KS 67221-3506
(316) 759-5864
(316) 759-5038
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
17124
KS
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
17124
KS
Other
Enumeration date
10/28/2005
Last updated
09/11/2025
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