Individual
KETURAH CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
507 S MAIN ST, LINDEN, AL 36748-2025
(334) 578-2357
(334) 295-5596
Mailing address
PO BOX 661495, BIRMINGHAM, AL 35266-1495
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
291
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113458
—
AL
05
—
113459
—
AL
05
—
113460
—
AL
05
—
1386814457
—
AL
01
—
510-49799
BC BS OF AL
AL
01
—
510-49800
BC BS OF AL
AL
01
—
510-49801
BC BS OF AL
AL
01
—
515-47481
BC BS OF ALABAMA
AL
01
—
515-47484
BC BS OFAL
AL
01
—
515-47487
BC BS OF AL
AL
01
—
6931751
CIGNA
AL
01
—
9509124
AETNA
AL
Enumeration date
03/05/2008
Last updated
09/30/2011
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