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Individual

KATELYNN R CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FPMHNP

Contact information

Practice address
17844 E 23RD ST S, INDEPENDENCE, MO 64057-1840
(816) 254-3652
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5214

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2018037180
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2018037180
MO

Other

Enumeration date
10/12/2018
Last updated
04/20/2026
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