Individual
KEVIN CRAWMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
2982 HIGHWAY K, O FALLON, MO 63368-7861
(636) 978-9235
Mailing address
211 GLEN MEADOWS CT, TROY, MO 63379-3479
(636) 528-0524
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2001027308
MO
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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