Individual
KELLY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
247 CHATEAU DR SW, HUNTSVILLE, AL 35801-6401
(256) 882-1510
(256) 217-5838
Mailing address
247 CHATEAU DR SW, HUNTSVILLE, AL 35801-6401
(256) 882-1510
(256) 217-5838
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36522
AL
Other
Enumeration date
04/11/2016
Last updated
11/27/2023
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