Doctor Name: | MRS. KIMBERLY CRAWFORD |
NPI Number: | 1023211331 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN,BSN,MED |
License Number: | 173850 |
Business Practice Address: | 366 Mildred St Painesville, OH - 440772920 |
Business Phone Number: | 4403546684 |
Business Fax Number: | |
Mailing Address: | 366 Mildred St, PAINESVILLE |
State: | OH |
Postal Code: | 440772920 |
Phone Number: | 4403546684 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 173850 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |