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Individual
DR. KENNETH CRABB
Active
Individual
DR. KENNETH CRABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
22756
MN
207V00000X
Obstetrics & Gynecology Physician
Primary
22756
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010438
PREFERRED ONE
MN
01
—
07-29530
MEDICA
MN
01
—
100613
UCARE
MN
01
—
21593CR
BLUE SHIELD
MN
05
—
675593300
—
MN
01
—
HP20169
HEALTH PARTNERS
MN
Enumeration date
06/21/2006
Last updated
07/31/2013
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