Individual
DR. KEVIN WAYNE NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
626 OLIVE ST SW, CULLMAN, AL 35055-5594
(256) 775-0269
(256) 775-6871
Mailing address
100 SAGE OAK LN, MADISON, AL 35758-4016
(256) 520-7550
(256) 775-6871
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SA02-TA-581
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51504769
BCBSAL
AL
Enumeration date
08/24/2005
Last updated
07/15/2020
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