Individual
KEVIN L. WALDROP
Active
Individual
KEVIN L. WALDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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