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Individual
KYRA DAWN CRENSHAW
Active
Individual
KYRA DAWN CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
32354
OK
207Q00000X
Family Medicine Physician
Primary
S4281
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082233098
DRIVERS LICENSE
OK
01
—
S4281
TEXAS MEDICAL LICENSE
TX
Enumeration date
04/02/2016
Last updated
07/09/2020
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