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1093713703

NPI Code Detail

MEDICARE: CINDY L KIRBY-DIAZ MD

MEDICARE: CINDY L KIRBY-DIAZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	200102696	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	049924	OTHER		FAMILY HEALTH PARTNERS
2	049993	OTHER		FAMILY HEALTH PARTNERS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	33514022	OTHER		BLUE CROSS/BLUE SHIELD
5	1201847	OTHER		UNITED HEALTH CARE
6	7354357	OTHER		AETNA
7	502062	OTHER		FIRST GUARD

General Provider Information

NPI Number	:	1093713703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY L KIRBY-DIAZ MD

Provider Business Mailing Address
First Line	:	205 W R D MIZE RD
Second Line	:	SUITE 304
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2518
Country	:	US
Telephone Number	:	816-228-4770
Fax Number	:	816-228-1156

Provider Business Practice Location Address
First Line	:	205 W R D MIZE RD
Second Line	:	SUITE 304
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2518
Country	:	US
Telephone Number	:	816-228-4770
Fax Number	:	816-228-1156

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	03/28/2017

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Directions to “ CINDY L KIRBY-DIAZ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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