Kevin M Crawley, RDN | |
1315 Hospital Dr, St Johnsbury, VT 05819-9210 | |
(802) 748-8141 | |
(802) 748-4098 |
Full Name | Kevin M Crawley |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 1315 Hospital Dr, St Johnsbury, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083245963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 074.0134211 (Vermont) | Primary |
Provider Name | Joslin Clinic Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528003621 PECOS PAC ID: 5092794883 Enrollment ID: O20040715000769 |
Provider Name | Beth Israel Deaconess Medical Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827 |
Mailing Address | Practice Location Address |
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Kevin M Crawley, RDN Po Box 905, St Johnsbury, VT 05819-0905 Ph: (802) 748-8141 | Kevin M Crawley, RDN 1315 Hospital Dr, St Johnsbury, VT 05819-9210 Ph: (802) 748-8141 |
Sharon S Anderson, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-8141 | |
Mr. Chad Proulx, RDN, CD Dietitian Medicare: Medicare Enrolled Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-8141 | |
Virginia J Flanders, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-8141 |