Individual
KYLE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
433 BOLIVAR ST, NEW ORLEANS, LA 70112-7021
(504) 568-4808
Mailing address
8210 AULDEN PL, CUMMING, GA 30041-5717
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2661493
—
LA
Enumeration date
04/12/2024
Last updated
07/24/2024
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