Individual
KENDALL CROOKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2445
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
99-182
NM
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
99-182
NM
Other
Enumeration date
07/30/2006
Last updated
03/22/2017
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