Individual
BRENT CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1148 S HILLSIDE ST, STE 104, WICHITA, KS 67211-4005
(316) 687-0006
(316) 687-0328
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35.0099636
OH
2084P0800X
Psychiatry Physician
Primary
7402
KS
2084P0800X
Psychiatry Physician
DR.0057344
CO
2084P0800X
Psychiatry Physician
E-11779
AR
2084P0800X
Psychiatry Physician
MD60654447
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086440
—
OH
01
—
H217430
MEDICARE
OH
Enumeration date
06/02/2010
Last updated
03/24/2022
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