Crandall, Kea Michelle

Crandall, Kea Michelle is an individual health care provider with primary practice located at 1046 6Th Ave Sw , Albany OR 97321-1916. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Crandall, Kea Michelle can be contacted via phone (541) 812-4000.

Contact Information

Primary practice address
1046 6Th Ave Sw Albany OR 97321-1916
Fax: (541) 812-4126
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD24290 Oregon
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD24290 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10862 Montana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD 00047001 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C53395 California

Profile Details

NPI number 1205803764
LBN Legal business name Crandall, Kea Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jul 21st, 2022 - about 2 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 1205803764 NPPES
Oregon MEDICAID 50069545

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