Individual
MRS. KELLY R CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
108 DORNACH WAY, ADVANCE, NC 27006-7305
(336) 940-2407
(336) 940-2409
Mailing address
108 DORNACH WAY, ADVANCE, NC 27006-7305
(336) 940-2407
(336) 940-2409
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103844
NC
Other
Enumeration date
06/28/2005
Last updated
05/16/2012
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