Individual
DR. KEVIN CHARLES DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2295 E 14TH ST STE 200, WINSTON SALEM, NC 27105-6804
(336) 716-3182
(336) 713-9619
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3182
(336) 713-9619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2025-00459
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2022
Last updated
11/25/2025
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