Individual
KEITH H CRAWFORD
Active
Individual
KEITH H CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
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
Update your record
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