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Individual

MRS. DIA L HERR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2617 N. 69TH STREET, KANSAS CITY, KS 66109
(913) 334-2427
Mailing address
2617 N. 69TH STREET, KANSAS CITY, KS 66109
(913) 334-2427

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201240200A
KMAP
KS
Enumeration date
02/20/2014
Last updated
07/03/2019
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