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Contact Information

KATHLEEN I DIAZ
200 MAINE ST STE A
LAWRENCE, KS66044-1396
 Phone: 785-843-9192
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

103TF0000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KATHLEEN I DIAZ · (Female)

NPI Number 1801364906
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2018
Last updated 11/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KS Medicaid 103T00000X
  • KS Other 103T00000X AETNA
  • KS Other 103T00000X BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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