Healthcare Provider Details

I. General information

NPI: 1053923532
Provider Name (Legal Business Name): KELSEY ANN CROWELL DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KELSEY ANN SHARPLES

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 CORDOVA ST
ANCHORAGE AK
99503-7218
US

IV. Provider business mailing address

PO BOX 31001-4162
PASADENA CA
91110-4162
US

V. Phone/Fax

Practice location:
  • Phone: 907-564-2250
  • Fax:
Mailing address:
  • Phone: 866-747-2455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number235382
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: