Crandall, Keith Robert

Crandall, Keith Robert is an individual health care provider with primary practice located at 1605 Stafford Dr , Tyler TX 75703-0839. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Crandall, Keith Robert can be contacted via phone (903) 941-9247.

Contact Information

Primary practice address
1605 Stafford Dr Tyler TX 75703-0839
Phone: (903) 941-9247
Fax: (888) 503-2519
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X BN6420119-057356 Ohio
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 2066 Texas

Profile Details

NPI number 1104125780
LBN Legal business name Crandall, Keith Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2011
Last updated Jul 5th, 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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