Individual
DR. KENNETH JOSEPH CROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
802 N MAIN ST, SUITE A, OPP, AL 36467-1614
(334) 493-2530
Mailing address
802 N MAIN ST, SUITE A, OPP, AL 36467-1614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18485
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000023704
—
AL
01
—
080155685
RAILROAD MEDICARE
—
01
—
51023704
BCBS OF ALABAMA
AL
Enumeration date
02/09/2007
Last updated
03/13/2008
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