Individual
MR. JOHN L CRANE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5949 NIEMAN RD, SHAWNEE, KS 66203-2907
(913) 631-6114
(913) 631-5263
Mailing address
5949 NIEMAN RD, SHAWNEE, KS 66203-2907
(913) 631-6114
(913) 631-5263
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0423330
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080150739
MEDICARE RAILROAD
—
01
—
18049061
BLUE SHIELD OF KC
MO
Enumeration date
06/07/2006
Last updated
07/08/2007
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