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Individual

DR. KEVIN DANIEL CROWLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
63 CRESCENT AVE, NORTHFIELD, VT 05663-5704
(802) 485-4161
(802) 485-4163
Mailing address
PO BOX 547, CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT, BARRE, VT 05641-0547
(802) 485-4161
(802) 485-4163

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042-0006365
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005031
VT
01
0420006365
LICENSE
Enumeration date
12/16/2005
Last updated
12/03/2013
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