Individual
KENDRA Q CREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
126 S ANNISTON AVE, SYLACAUGA, AL 35150-2904
(256) 249-6050
(256) 249-6053
Mailing address
126 S ANNISTON AVE, SYLACAUGA, AL 35150-2904
(256) 249-6050
(256) 249-6053
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
PA 886
AL
363AM0700X
Medical Physician Assistant
Primary
PA 886
AL
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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