Crane, Kevin Thomas

Crane, Kevin Thomas is an individual health care provider with primary practice located at 1025 S Beck Ave , Tempe AZ 85281-5399. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Crane, Kevin Thomas can be contacted via phone (480) 966-7114.

Contact Information

Primary practice address
1025 S Beck Ave Tempe AZ 85281-5399
Phone: (480) 966-7114
Fax: (480) 829-6178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X Arizona

Profile Details

NPI number 1891872511
LBN Legal business name Crane, Kevin Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 25th, 2007 - about 17 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 1891872511 NPPES
Arizona MEDICAID 126053

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