Individual
KEVIN W CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
401 SEWELL DR, SPARTA, TN 38583-1223
(931) 738-9211
(615) 620-2323
Mailing address
PO BOX 440167, NASHVILLE, TN 37244-0167
(615) 620-2320
(615) 620-2323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN51999
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN10563
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3602711
—
TN
01
—
4027821
BLUE CROSS/BLUE SHIELD OF TN
TN
01
—
430070932
MEDICARE RAILROAD
TN
Enumeration date
10/20/2006
Last updated
06/14/2010
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