| Doctor Name: | DR. KEVIN RAY DIEL |
| NPI Number: | 1316938079 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 2004010176 |
| Business Practice Address: | 1800 Us Highway 84 W Opp, AL - 364673520 |
| Business Phone Number: | 3344934357 |
| Business Fax Number: | 3342223825 |
| Mailing Address: | 1800 Us Highway 84 W, OPP |
| State: | AL |
| Postal Code: | 364673520 |
| Phone Number: | 3344934357 |
| Fax Number: | 3342223825 |
| NPI Enumeration Date: | 11/02/2005 |
| NPI Last Update Date: | 10/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2004010176 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |