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NPI Code Detail

MEDICARE: KEVIN T CRAWFORD DO

MEDICARE: KEVIN T CRAWFORD DO
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
1207X00000XOrthopaedic Surgery Physician5101010624MI

General Provider Information

NPI Number : 1851388177
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN T CRAWFORD DO
Provider Business Mailing Address
First Line : 31535 FORD RD
Second Line :
City : GARDEN CITY
State : MI
Zip : 48135-1821
Country : US
Telephone Number : 734-721-8785
Fax Number : 734-721-2938
Provider Business Practice Location Address
First Line : 31535 FORD RD
Second Line :
City : GARDEN CITY
State : MI
Zip : 48135-1821
Country : US
Telephone Number : 734-721-8785
Fax Number : 734-721-2938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 04/22/2025

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