Individual provider · Type 1 NPI

Gerard Priggel Dietrich

Student in an Organized Health Care Education/Training Program · Kansas City, MO

NPI number 1114690211 Active

Practice location

4320 Wornall Rd Ste 65
Kansas City, MO 64111-5945

Call (816) 932-6100 Map

Mailing address

4414 Pennsylvania Ave Apt 6
Kansas City, MO 64111-3326

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114690211

Gerard Priggel Dietrich's National Provider Identifier is 1114690211, issued on Jul 26, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kansas City, MO. The record was last updated on Jul 26, 2021.