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Individual

DR. KENNETH ROBERT CRAWLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
3501 N GRANVILLE AVE STE L4, MUNCIE MALL, MUNCIE, IN 47303-1254
(765) 286-5977
(765) 286-5988
Mailing address
3501 N GRANVILLE AVE STE L4, MUNCIE MALL, MUNCIE, IN 47303-1254
(765) 286-5977
(765) 286-5988

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001737
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000269582
BLUECROSS/BLUE SHIELD
IN
01
000000269589
BLUE CROSS/BLUE SHIELD
IN
01
10609
DAVIS
01
1737
VISION BENEFITS OF AMERIC
01
217779
CLARITY
01
43106
CLARITY
01
918567
EYEMED
01
919893
EYEMED
01
990002951
RAILROAD MEDICARE
IN
01
P00083065
RAI;ROAD MEDICARE
IN
Enumeration date
03/20/2007
Last updated
11/05/2014
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