Individual
MRS. KATHLEEN SUE DIECKHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
14704 S BROUGHAM DR, OLATHE, KS 66062-4716
(913) 393-0925
Mailing address
14704 S BROUGHAM DR, OLATHE, KS 66062-4716
(913) 393-0925
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1358693111
KS
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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