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
Phone: (541) 812-4000
Fax: (541) 812-4126
Website:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205803764 | NPPES |
| Oregon | MEDICAID | 50069545 |
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