Crandell, Kevin Leigh

Crandell, Kevin Leigh is an individual health care provider with primary practice located at 1701 Veterans Dr , Florence AL 35630-4928. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Crandell, Kevin Leigh can be contacted via phone (662) 231-7878.

Contact Information

Primary practice address
1701 Veterans Dr Florence AL 35630-4928
Phone: (662) 231-7878
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17870 Mississippi
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17870 Mississippi
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 00024936 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17870 Mississippi

Profile Details

NPI number 1811955693
LBN Legal business name Crandell, Kevin Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Sep 22nd, 2020 - about 5 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 1811955693 NPPES
Alabama MEDICAID 51556046

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