Individual
DR. KEVIN LEIGH CRANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 VETERANS DR, FLORENCE, AL 35630-4928
(662) 231-7878
Mailing address
12 COUNTY ROAD 71, GOLDEN, MS 38847-8310
(662) 231-7878
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00024936
AL
207P00000X
Emergency Medicine Physician
17870
MS
207Q00000X
Family Medicine Physician
Primary
17870
MS
207R00000X
Internal Medicine Physician
17870
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51556046
—
AL
Enumeration date
05/02/2006
Last updated
09/22/2020
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