Individual
DR. KENNETH CRABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 SMITH AVE. NORTH, SUITE 460, ST. PAUL, MN 55102-2437
(651) 224-4897
(651) 297-6559
Mailing address
280 SMITH AVE. NORTH, SUITE 460, ST. PAUL, MN 55102-2437
(651) 224-4897
(651) 297-6559
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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