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Individual

KEVIN CRITCHLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
386 14TH ST, OAKLAND, CA 94612-3211
(510) 210-5050
Mailing address
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, 1959 NE PACIFIC STREET, SEATTLE, WA 98195-0001

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A157112
CA
208M00000X
Hospitalist Physician
Primary
A157112
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/02/2015
Last updated
03/09/2022
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