Crowley, Kevin Daniel

Crowley, Kevin Daniel is an individual health care provider with primary practice located at 63 Crescent Ave , Northfield VT 05663-5704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Crowley, Kevin Daniel can be contacted via phone (802) 485-4161.

Contact Information

Primary practice address
63 Crescent Ave Northfield VT 05663-5704
Phone: (802) 485-4161
Fax: (802) 485-4163
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042-0006365 Vermont

Profile Details

NPI number 1629054143
LBN Legal business name Crowley, Kevin Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Dec 3rd, 2013 - about 12 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 1629054143 NPPES
Other 0420006365 LICENSE
MEDICAID 0005031 LICENSE

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