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Individual

KRISTY LYNN CRANDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
214 HOSPITAL RD, RED BAY, AL 35582-3861
(256) 356-5609
(256) 356-5611
Mailing address
214 HOSPITAL RD, RED BAY, AL 35582-3861
(256) 356-5609
(256) 356-5611

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19103
MS
207Q00000X
Family Medicine Physician
Primary
23116
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00124582
MS
05
009957670
AL
01
51502500
BC & BS OF AL
AL
Enumeration date
06/01/2006
Last updated
03/24/2025
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