Individual
DIANA S DARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4320 WORNALL RD, SUITE 65, KANSAS CITY, MO 64111-5941
(816) 932-6100
(816) 932-9002
Mailing address
901 E. 104TH ST., MAILSTOP 400N, KANSAS CITY, MO 64131-9712
(816) 502-7104
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
101915
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
101915
MO
207RP1001X
Pulmonary Disease Physician
Primary
101915
MO
Other
Enumeration date
08/22/2005
Last updated
11/16/2017
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