Crabb, Kenneth

Crabb, Kenneth is an individual health care provider with primary practice located at 280 Smith Ave. North Suite 460, St. Paul MN 55102-2437. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Crabb, Kenneth can be contacted via phone (651) 224-4897.

Contact Information

Primary practice address
280 Smith Ave. North Suite 460 St. Paul MN 55102-2437
Phone: (651) 224-4897
Fax: (651) 297-6559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 22756 Minnesota
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 22756 Minnesota

Profile Details

NPI number 1023054681
LBN Legal business name Crabb, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 31st, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023054681 NPPES
Minnesota Other 100613 UCARE
Minnesota MEDICAID 675593300 UCARE
Minnesota Other 00010438 UCARE
Minnesota Other 21593CR UCARE
Minnesota Other 07-29530 UCARE
Minnesota Other HP20169 UCARE

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