Healthcare Provider Details

I. General information

NPI: 1003734443
Provider Name (Legal Business Name): DIANNA KING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 N WALNUT AVE
SIDNEY OH
45365-2626
US

IV. Provider business mailing address

226 N WALNUT AVE
SIDNEY OH
45365-2626
US

V. Phone/Fax

Practice location:
  • Phone: 937-726-4456
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: