Individual
MS. KEYAIRA CRUDUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
10320 FELD FARM LN STE 200, CHARLOTTE, NC 28210-8484
(704) 707-0014
Mailing address
10320 FELD FARM LN STE 200, CHARLOTTE, NC 28210-8484
(704) 707-0014
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO05262
NC
224P00000X
Prosthetist
CPO05262
NC
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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