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Individual

KEVIN L WALDROP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1960 GADSDEN HWY, SUITE 120, BIRMINGHAM, AL 35235-4200
(205) 655-1114
(205) 661-3585
Mailing address
1960 GADSDEN HWY, SUITE 120, BIRMINGHAM, AL 35235-3266
(205) 655-1114
(205) 661-3585

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
228
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03100
BC PROVIDER NUMBER
AL
01
2700040
UHC PROVIDER NUMBER
AL
Enumeration date
06/22/2006
Last updated
09/23/2010
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