Individual
KENNETH CROSSWHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1015 MEDICAL CENTER PKWY, SELMA, AL 36701-6748
(334) 418-4100
Mailing address
296 SHADOW CREEK LOOP, CAMDEN, AL 36726-1846
(334) 455-9905
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-095951
AL
Other
Enumeration date
06/23/2014
Last updated
01/27/2021
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