Individual
KIRSTI ANNA DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(508) 941-7772
(508) 559-7035
Mailing address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(508) 941-7772
(508) 559-7035
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0345
NH
213E00000X
Podiatrist
DPM00343
RI
213E00000X
Podiatrist
Primary
PDF7272
MA
Other
Enumeration date
06/24/2011
Last updated
02/18/2025
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