Individual
DR. KEITH DINKLAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1612 HIGHWAY 78 EAST, SUITE 100, OXFORD, AL 36203-5862
(256) 835-4756
(256) 831-5736
Mailing address
PO BOX 117598, ATLANTA, GA 30368-7598
(770) 442-1911
(770) 442-0306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01041007
IN
207Q00000X
Family Medicine Physician
Primary
52519
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000191328
BC/BS
IN
05
—
200056320B
—
IN
Enumeration date
10/25/2006
Last updated
04/22/2026
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