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NPI Code Detail

MEDICARE: KIMBERLY W. CRAWFORD, MD., PA.

MEDICARE: KIMBERLY W. CRAWFORD, MD., PA.
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
1207KA0200XAllergy PhysicianME41273FL

General Provider Information

NPI Number : 1558450338
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIMBERLY W. CRAWFORD, MD., PA.
Provider Business Mailing Address
First Line : PO BOX 650489
Second Line :
City : VERO BEACH
State : FL
Zip : 32965-0489
Country : US
Telephone Number : 772-562-9602
Fax Number : 772-562-8086
Provider Business Practice Location Address
First Line : 787 37TH ST STE E100
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-7304
Country : US
Telephone Number : 772-562-9602
Fax Number : 772-562-8086
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : DR. KIMBERLY W. CRAWFORD
Credential : M.D.
Telephone Number : 772-562-9602
Provider Enumeration Date : 10/12/2006
Last Update Date : 08/22/2020

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Directions to “KIMBERLY W. CRAWFORD, MD., PA. ” Practice Location

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