Individual
DR. KENT L. CROSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11811 SAINT CHARLES BLVD, LITTLE ROCK, AR 72211-1644
(501) 224-1776
Mailing address
11811 SAINT CHARLES BLVD, LITTLE ROCK, AR 72211-1644
(501) 224-1776
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
R3874
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11608001
—
AR
Enumeration date
04/03/2007
Last updated
07/08/2007
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