person
Dr. Kevin Ray Diel, MD
General Practice Physician in Opp, Alabama
NPI 1316938079

Kevin Ray Diel is a General Practice Physician based in Opp, AL. Kevin Ray Diel practices in Opp, AL and has the professional credentials of MD. The NPI Number for Kevin Ray Diel is 1316938079 and holds a License No. 2004010176 (Alabama).

The current practice location address for Kevin Ray Diel is 1800 Us Highway 84 W, Opp, AL and can be reached out via phone at 334-493-4357 and via fax at 334-222-3825.

Location: 1800 Us Highway 84 W, Opp, AL, 36467-3520
person
Provider Profile Details
NPI Number
1316938079
Provider Name
Kevin Ray Diel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1800 Us Highway 84 W, Opp, AL, 36467-3520
Phone Number
334-493-4357
Fax Number
334-222-3825
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102I016582 01 AL MEDICARE PTAN
127794 05 AL
institution
Provider Business Practice Location Address Details
Address
1800 Us Highway 84 W
City
Opp
State
Zip
36467-3520
Phone Number
334-493-4357
Fax Number
334-222-3825
person
Provider Business Mailing Address Details
Address
1800 Us Highway 84 W
City
Opp
State
Zip
36467-3520
Phone Number
334-493-4357
Fax Number
334-222-3825
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
2004010176 (Missouri)
Definition
Definition to come...
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