Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CALEB DIEDERICH, ATC, LAT
ActiveMR. CALEB DIEDERICH, ATC, LAT is a Athletic Trainer healthcare provider located in KANSAS CITY, Missouri. NPI 1306581434 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · KANSAS CITY, MO
Registration Details
- NPI Number
- 1306581434
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2022 (4.2441205529871 yrs)
- Last Updated
- May 3, 2022
- Licenses
-
05-35604 (MO)24-01018 (KS)
Practice Information
- Address
-
2401 GILLHAM RDKANSAS CITY, MO, 641084619Browse MO providers · Browse ZIP 64108
- Phone
- 8162343000
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in KANSAS CITY, MO
| Name | Credential | NPI |
|---|---|---|
| DR. DIANE E. BARTHOLOMEW | ATC | 1477542348 |
| MS. GAY LYNN ANDERSON | ATC | 1457371593 |
| MISS LISA NICOLE GROSS | ATC | 1043458532 |
| MR. KYLE L FARLEY | ATC | 1518296565 |
| MR. BRETT JEFFERY MCQUEEN | MS, LAT, ATC | 1295011872 |
| SCOTT B MCGINN | ATC, LAT | 1649537010 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.