Individual provider · Type 1 NPI
Kevin Deidrick
Primary Podiatric Medicine Podiatrist · Temple, TX
NPI number
1538746110
Active
Practice location
2401 S 31st St
Temple, TX 76508-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 692126 (TX) |
Primary Podiatric Medicine Podiatrist: Definition to come...
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About NPI 1538746110
Kevin Deidrick's National Provider Identifier is 1538746110, issued on Mar 28, 2021. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Temple, TX. The record was last updated on May 17, 2024.