EMILY DIEDERICH

KANSAS CITY, KS
NPI1770749350
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  AN5240394-5533)
Additional Taxonomies207RP1001X Internal Medicine, Pulmonary Disease
(Licence: KS  04-33771)
Enumeration Date2008-08-02
Last Update Date2012-05-02
Business Address
-- EMILY DIEDERICH m.d.
3901 RAINBOW BLVD
KANSAS CITY, KS 66103-2937
Phone number: 913-636-5226
Mailing Address
-- EMILY DIEDERICH m.d.
3940 TERRACE ST
KANSAS CITY, MO 64111-4134
Phone number: 913-636-5226