Individual
DIANA R KERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8198 WALNUT HILL LN STE 100, DALLAS, TX 75231-4316
(214) 345-4449
(214) 345-1238
Mailing address
8198 WALNUT HILL LN STE 100, DALLAS, TX 75231-4316
(214) 345-4449
(214) 345-1238
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
44447
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
P5658
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006000261R
HUMANA
—
05
—
326041601
—
TX
05
—
34205300
—
WI
Enumeration date
05/20/2006
Last updated
01/13/2016
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