Dr KEVIN R DIEL is a male medical professional, specializing in General Practice. He graduated in 2000 from Southern Illinois University School Of Medicine.
301 MEDICAL AVE A
ANDALUSIA
AL
364201102
Tel:
| Npi | 1316938079 |
| Pac Id | 2466633359 |
| Professional Enrollment Id | I20110225000129 |
| Last Name | DIEL |
| First Name | KEVIN |
| Middle Name | R |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
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| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 301 MEDICAL AVE A |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ANDALUSIA |
| State | AL |
| Zip Code | 364201102 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 010007 |
| Hospital Affiliation Lbn 1 | MIZELL MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 010036 |
| Hospital Affiliation Lbn 2 | ANDALUSIA REGIONAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 010049 |
| Hospital Affiliation Lbn 3 | MEDICAL CENTER ENTERPRISE |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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