Deidrick, Kevin

Deidrick, Kevin is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-0001. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Deidrick, Kevin can be contacted via phone (254) 935-5750.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508-0001
Phone: (254) 935-5750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 692126 Texas

Profile Details

NPI number 1538746110
LBN Legal business name Deidrick, Kevin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2021
Last updated May 17th, 2024 - about 2 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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