Crezee, Kelvin S

Crezee, Kelvin S is an individual health care provider with primary practice located at 15810 S 45Th St St #190, Phoenix AZ 85048-7694. 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. Crezee, Kelvin S can be contacted via phone (480) 893-1090.

Contact Information

Primary practice address
15810 S 45Th St St #190 Phoenix AZ 85048-7694
Phone: (480) 893-1090
Fax: (480) 598-1458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0328 Arizona

Profile Details

NPI number 1447242888
LBN Legal business name Crezee, Kelvin S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Apr 30th, 2008 - about 16 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 1447242888 NPPES
Arizona Other 480008406 RAILROAD MEDICARE
Arizona Other AZ0190620 RAILROAD MEDICARE
Arizona Other 0653000001 RAILROAD MEDICARE

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