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KATIE R CRAWFORD, PA-C – NPI #1073159133
Medical

NPI Profile for KATIE R CRAWFORD in DARDANELLE, AR.

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Contact Information

KATIE R CRAWFORD, PA-C
1176 STATE HIGHWAY 22 W STE B
DARDANELLE, AR  72834-3006
 Phone: 479-229-3004
 Fax: 870-994-7488
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Medical

 363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KATIE R CRAWFORD · (Female)

NPI Number 1073159133
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/25/2019
Last updated 02/03/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # PT2019-051
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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