Individual
KEVIN A CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 PROVIDENCE RD, SUITE 101, CHARLOTTE, NC 28207
(704) 749-5800
(704) 626-3067
Mailing address
200 PROVIDENCE RD, SUITE 101, CHARLOTTE, NC 28207-1468
(704) 749-5800
(704) 626-3067
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2013-00677
NC
207LP3000X
Pediatric Anesthesiology Physician
2013-00677
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2009
Last updated
08/05/2014
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