MEDICARE: MELISSA A CRAWFORD 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
1	363A00000X	Physician Assistant	15-00987	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801899612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA A CRAWFORD PA

Provider Business Mailing Address
First Line	:	2265 S 9TH ST
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401
Country	:	US
Telephone Number	:	785-823-8381
Fax Number	:	785-823-0383

Provider Business Practice Location Address
First Line	:	2265 S 9TH ST
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401
Country	:	US
Telephone Number	:	785-823-8381
Fax Number	:	785-823-0383

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	08/18/2020

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Directions to “ MELISSA A CRAWFORD PA” Practice Location

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