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Individual

DR. TAYLOR V DIEDERICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8500
(913) 588-1227
Mailing address
3901 RAINBOW BLVD # MS 1045, KANSAS CITY, KS 66160-8500
(913) 588-1559

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
04-51527
KS

Other

Enumeration date
04/07/2022
Last updated
08/01/2025
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