Individual
KEITH H CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2421 BROADWAY ST, PADUCAH, KY 42001-7115
(270) 450-6217
(270) 450-6731
Mailing address
2421 BROADWAY ST, PADUCAH, KY 42001-7115
(270) 442-8272
(270) 444-0539
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21534
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000068646
BCBS
KY
01
—
150821
MEDICARE FDA #
KY
01
—
1600014
UHC
KY
01
—
193333
HEALTHLINK
KY
01
—
300019109
RR MEDICARE
KY
01
—
4368224
AETNA
KY
01
—
5128682
CCN
KY
05
—
64215346
—
KY
01
—
K004228
TRICARE
KY
Enumeration date
10/17/2006
Last updated
01/21/2015
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