Healthcare Provider Details

I. General information

NPI: 1588673933
Provider Name (Legal Business Name): DIANA L.CARVER, DO,PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 SW 10TH AVE
TOPEKA KS
66604-3904
US

IV. Provider business mailing address

1125 SW GAGE BLVD STE A
TOPEKA KS
66604-2281
US

V. Phone/Fax

Practice location:
  • Phone: 785-234-8601
  • Fax: 785-234-2575
Mailing address:
  • Phone: 785-234-8601
  • Fax: 785-234-2575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0525857
License Number StateKS

VIII. Authorized Official

Name: MS. SHERYL ANN MORRIS
Title or Position: OFFICE MANAGER
Credential:
Phone: 785-234-8601