Klivington, Diane

Klivington, Diane is an individual health care provider with primary practice located at 104 Medical Dr , Dothan AL 36303-6902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Klivington, Diane can be contacted via phone (850) 333-5113.

Contact Information

Primary practice address
104 Medical Dr Dothan AL 36303-6902
Phone: (850) 333-5113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 21472 Mississippi
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 1313 Hawaii
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2094 Alabama

Profile Details

NPI number 1407990740
LBN Legal business name Klivington, Diane
Credentials DO, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Dec 8th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407990740 NPPES
Mississippi MEDICAID 04674024

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