| Doctor Name: | MR. KEITH ALAN CRITTENDEN |
| NPI Number: | 1003196254 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARRT R (R)(CT) |
| License Number: | CRT-15680 |
| Business Practice Address: | 2404 Husak Rd Standish, MI - 486589123 |
| Business Phone Number: | 9899035142 |
| Business Fax Number: | |
| Mailing Address: | 2404 Husak Rd, STANDISH |
| State: | MI |
| Postal Code: | 486589123 |
| Phone Number: | 9899035142 |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2011 |
| NPI Last Update Date: | 08/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C3401X |
| License Number: | CRT-15680 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Computed Tomography |
| Taxonomy Definition: | |