# KENDALL CROOKSTON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811902372
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZB0001X | Blood Banking & Transfusion Medicine Physician | 99-182 | NM | Yes |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | 99-182 | NM | — |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 03/22/2017