Individual
DR. KENNETH M CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7505 OSLER DR STE 104, TOWSON, MD 21204-7737
(410) 337-8888
(410) 823-4833
Mailing address
8322 BELLONA AVE STE 100, TOWSON, MD 21204-2065
(410) 337-7900
(410) 769-8591
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D0083337
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0083337
MARYLAND LICENSE
MD
Enumeration date
05/28/2009
Last updated
07/21/2022
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