Kelly Crawford

NPI #1164153474 in Patchogue, New York

Provider Information

NPI Number: 1164153474
Entity Type: Individual
Name: Kelly Crawford
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Jun 19, 2022
Last Updated: Jun 19, 2022

Practice Location

Address: 11 BAKER ST
City: Patchogue
State: New York
ZIP Code: 11772-3846
Phone: (631) 480-7551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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