Individual
KEVIN M DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1309 W MAIN ST, WALNUT RIDGE, AR 72476-1430
(870) 886-1200
(870) 886-5340
Mailing address
PO BOX 839, WALNUT RIDGE, AR 72476-0839
(870) 886-1200
(870) 886-5340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E0535
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128088001
—
AR
01
—
5J928
BLUE CROSS BLUE SHIELD
AR
Enumeration date
11/17/2006
Last updated
02/27/2026
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