Dibal, Diedre A

Dibal, Diedre A is an individual health care provider with primary practice located at 825 Euclid Avenue , Kansas City MO 64124-2323. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Women's Health Care, Ambulatory, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Dibal, Diedre A can be contacted via phone (816) 474-4970.

Contact Information

Primary practice address
825 Euclid Avenue Kansas City MO 64124-2323
Phone: (816) 474-4970
Fax: (816) 474-4914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1339651031 Kansas
Nursing Service Providers / Registered Nurse 163W00000X 073851 Missouri
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X 74337 Kansas
Other Service Providers / Midwife 176B00000X 64043 Kansas
Other Service Providers / Midwife 176B00000X 073951 Missouri

Profile Details

NPI number 1720107337
LBN Legal business name Dibal, Diedre A
Credentials APRN CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Dec 2nd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720107337 NPPES
Kansas MEDICAID 100253000E
Kansas MEDICAID 257897009

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