Individual
DIANNA M KALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
611 N 39TH AVE, YAKIMA, WA 98902-6348
(509) 249-1288
(509) 249-6249
Mailing address
611 N 39TH AVE, YAKIMA, WA 98902
(509) 249-1288
(509) 249-6249
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30004094
WA
363L00000X
Nurse Practitioner
Primary
RN00048090
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9643420
—
WA
Enumeration date
08/09/2006
Last updated
02/11/2014
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