Kenyatta Crawford
Kenyatta Crawford is a Prosthetic/Orthotic Supplier in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3149 W 15th St Apt 2Chicago, IL 60623-2200
Phone: (312) 316-0479
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Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1881369692 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 12, 2021 |
| Last updated in NPPES | August 13, 2021 |
| Certification date | August 13, 2021 |
| Mailing address | 3149 W 15th St Apt 2, Chicago, IL 60623-2200 |
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