Individual
KEVIN L. WALDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2006 FRANKLIN ST SE STE 200, HUNTSVILLE, AL 35801-4537
(256) 539-0457
(256) 539-5827
Mailing address
2006 FRANKLIN ST SE STE 200, HUNTSVILLE, AL 35801-4537
(256) 539-0457
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36397
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009937862
MEDICAID OF AL
—
05
—
05989862
—
MS
05
—
206493
—
AL
05
—
206494
—
AL
05
—
206522
—
AL
05
—
207471
—
AL
05
—
207472
—
AL
05
—
207779
—
AL
05
—
210283
—
AL
05
—
210618
—
AL
05
—
211059
—
AL
05
—
213117
—
AL
05
—
244585
—
AL
05
—
245109
—
AL
05
—
245342
—
AL
05
—
245528
—
AL
05
—
247003
—
AL
01
—
731-04444
BLUE CROSS OF AL
—
01
—
P00350048
RAIL ROAD MEDICARE
—
Enumeration date
07/10/2006
Last updated
03/10/2023
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