Kevin Ray Diel is a General Practice in Opp, Alabama. Kevin Ray Diel practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin Ray Diel is 1316938079. The last update date is 2013-10-25.
Kevin Ray Diel's current location address is 1800 Us Highway 84 W, Opp, Alabama. You can contact this provider via phone number 3344934357 and fax number 3342223825. The mailing address for Kevin Ray Diel is 1800 Us Highway 84 W, Opp, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Ray Diel |
|---|---|
| Address | 1800 Us Highway 84 W, Opp, Alabama |
| Phone Number | 3344934357 |
| Fax Number | 3342223825 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316938079 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2013-10-25 |
Provider Mailing Address Detail
| Address | 1800 Us Highway 84 W |
|---|---|
| City | Opp |
| State | Alabama (AL) |
| Post Code | 364673520 |
| Phone Number | 3344934357 |
| Fax Number | 3342223825 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 2004010176 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102I016582 | AL | MEDICARE PTAN | |
| 127794 | AL | -- |
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What is the unique 10-digit identifier code issued to Kevin Ray Diel by the Centers for Medicare & Medicaid Services?
The Kevin Ray Diel has been assigned the NPI (National Provider Identifier) 1316938079 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kevin Ray Diel?
The Kevin Ray Diel is situated at 1800 Us Highway 84 W, in the city of Opp, state of AL, with the zip code 364673520.
What is the Kevin Ray Diel's specialty and taxonomy code?
The Kevin Ray Diel's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
When did the Kevin Ray Diel receive its 1316938079?
The Kevin Ray Diel was issued its 1316938079 on 2005-11-02, which is the date when the organization was assigned this unique identifier.
When was the information related to Kevin Ray Diel most recently updated or refreshed?
The details pertaining to the Kevin Ray Diel, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-10-25.