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Contact Information

DERICK E DIAZ
1913 N CHAUTAUQUA AVE
WICHITA, KS67214-2313
 Phone: 316-655-1636
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for DERICK E DIAZ · (Male)

NPI Number 1598615510
Status Active
Credentials
Entity Individual
Enumeration date 01/29/2026
Last updated 02/02/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers Not Available
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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