Individual
KAITLYN CRANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2502 25TH ST, COLUMBUS, IN 47201-3728
(812) 372-8883
(812) 372-8964
Mailing address
2502 25TH ST, COLUMBUS, IN 47201-3728
(812) 372-8883
(812) 372-8964
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002534A
IN
Other
Enumeration date
08/21/2018
Last updated
11/12/2021
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