Individual
KENNETH J. CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7000
(812) 238-4506
Mailing address
PO BOX 2505, INDIANAPOLIS, IN 46206-2505
(812) 238-7783
(812) 238-4506
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01031212A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050087359
RR MEDICARE
IN
05
—
100342400
—
IN
Enumeration date
05/12/2006
Last updated
10/18/2010
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