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Individual
KENNETH LEE DIEHL
Active
Individual
KENNETH LEE DIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1513
AK
225100000X
Physical Therapist
Primary
2567
HI
225100000X
Physical Therapist
3101
NM
225100000X
Physical Therapist
3925
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26271
HMSA QUEST
HI
05
—
591314
—
HI
Enumeration date
09/16/2006
Last updated
02/11/2008
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