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Contact Information

KIMBERLI K DIEKEN, OTR
1772 STIEGER LAKE LANE
VICTORIA, MN55386
 Phone: 952-443-9888
 Fax: 952-443-9804
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KIMBERLI K DIEKEN · (Female)

NPI # 1437253796
Status Active
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 09/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 100858
  • Other 78B63DI BCBS MN
  • Other HP32569 HEALTH PARTNERS
  • Other 6402175 MEDICA
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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