Individual
DR. KEVIN MARK DEITEL
Active
Individual
DR. KEVIN MARK DEITEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G85673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G85673
MEDICAL LICENSE
CA
01
—
H35473
UPIN
CA
Enumeration date
06/01/2005
Last updated
07/14/2025
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