Crawford, Kevin

Crawford, Kevin is an individual health care provider with primary practice located at 1705 N Dixie Hwy , Elizabethtown KY 42701-5506. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Crawford, Kevin can be contacted via phone (270) 769-2020.

Contact Information

Primary practice address
1705 N Dixie Hwy Elizabethtown KY 42701-5506
Phone: (270) 769-2020
Fax: (502) 736-4490
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1097DT Kentucky
Eye and Vision Services Providers / Optometrist 152W00000X 18003162A Indiana

Profile Details

NPI number 1194722819
LBN Legal business name Crawford, Kevin
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jun 14th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194722819 NPPES
Kentucky MEDICAID 77010973

Popular Providers