Individual
KEVIN DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
112 ELDEN ST STE D, HERNDON, VA 20170-4832
(703) 466-0802
(703) 437-6941
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301431
VA
Other
Enumeration date
04/06/2021
Last updated
07/01/2024
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