Diefenderfer, Kathlyn
Diefenderfer, Kathlyn is an individual health care provider with primary practice located at 101 Professional Ln , Enterprise AL 36330-2085. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Diefenderfer, Kathlyn can be contacted via phone (334) 347-3404.Contact Information
Primary practice address
101 Professional Ln
Enterprise AL 36330-2085
Phone: (334) 347-3404
Fax: (334) 393-0613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 00023919 | Alabama |
Profile Details
| NPI number | 1780606426 |
|---|---|
| LBN Legal business name | Diefenderfer, Kathlyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Nov 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780606426 | NPPES |
| Alabama | MEDICAID | 009957070 | |
| Alabama | Other | 51502734 |
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