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NPI Code Detail

MEDICARE: KIERSTEN CROWLEY

MEDICARE:   KIERSTEN  CROWLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1003770017
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIERSTEN CROWLEY
Provider Business Mailing Address
First Line : 363 SHEFFIELD RD
Second Line :
City : SEVERNA PARK
State : MD
Zip : 21146-1647
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9501 OLD ANNAPOLIS RD
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-6314
Country : US
Telephone Number : 410-997-1063
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2025
Last Update Date : 12/13/2025

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Directions to “ KIERSTEN CROWLEY ” Practice Location

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