Diel, Kevin Ray

Diel, Kevin Ray is an individual health care provider with primary practice located at 1800 Us Highway 84 W , Opp AL 36467-3520. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Diel, Kevin Ray can be contacted via phone (334) 493-4357.

Contact Information

Primary practice address
1800 Us Highway 84 W Opp AL 36467-3520
Phone: (334) 493-4357
Fax: (334) 222-3825
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2004010176 Missouri
Allopathic & Osteopathic Physicians / General Practice 208D00000X 30614 Alabama

Profile Details

NPI number 1316938079
LBN Legal business name Diel, Kevin Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Oct 25th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316938079 NPPES
Alabama Other 102I016582 MEDICARE PTAN
Alabama MEDICAID 127794 MEDICARE PTAN

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