Individual
MRS. KIMBERLY CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN,MED
Contact information
Practice address
366 MILDRED ST, PAINESVILLE, OH 44077-2920
(440) 354-6684
Mailing address
366 MILDRED ST, PAINESVILLE, OH 44077-2920
(440) 354-6684
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
173850
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173850
RN
OH
05
—
2664086
—
OH
Enumeration date
06/06/2007
Last updated
07/08/2007
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