Individual
KIM L DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
669 AGENCY MAIN ST, HARLEM, MT 59526-9455
(406) 353-3100
(406) 353-3108
Mailing address
669 AGENCY MAIN ST, HARLEM, MT 59526-9455
(406) 353-3100
(406) 353-3108
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
146661
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146661
LICENSE
WI
Enumeration date
01/11/2011
Last updated
01/11/2011
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