Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN DEIDRICK
ActiveKEVIN DEIDRICK is a Radiology Podiatrist healthcare provider located in TEMPLE, Texas. NPI 1538746110 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · TEMPLE, TX
Registration Details
- NPI Number
- 1538746110
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2021 (5.4067714147805 yrs)
- Last Updated
- May 17, 2024
- License
-
692126 (TX)
Practice Information
- Address
-
2401 S 31ST STTEMPLE, TX, 765080001Browse TX providers · Browse ZIP 76508
- Phone
- 2549355750
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.