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Individual

KEVIN P CROWNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(505) 523-7242
(505) 523-7254
Mailing address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(505) 523-7242
(505) 523-7254

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1268
NM

Other

Enumeration date
02/09/2007
Last updated
07/08/2007
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