Individual
JENNIFER H. CRAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6650 W 110TH ST STE 200, OVERLAND PARK, KS 66211
(913) 491-9299
(913) 491-3089
Mailing address
6650 W 110TH ST STE 200, OVERLAND PARK, KS 66211-1545
(913) 319-8400
(913) 696-0040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
R9E96
MO
2085R0202X
Diagnostic Radiology Physician
Primary
R9E96
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3230471A
RAILROAD MEDICARE- INDIV
MO
01
—
3230471B
RAILROAD MEDICARE- INDIV
KS
01
—
CI2562
RAILROAD MEDICARE- GROUP
KS
01
—
CI3618
RAILROAD MEDICARE- GROUP
MO
Enumeration date
01/13/2006
Last updated
11/15/2019
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