DR. KEVIN LEIGH CRANDELL (NPI# 1811955693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811955693 |
| Entity Type | Individual |
| Full Name | DR. KEVIN LEIGH CRANDELL |
| Credential | M.D. |
| Practice Address |
1701 Veterans Dr Florence AL 35630-4928 |
| Mailing Address |
12 County Road 71 Golden MS 38847-8310 |
| Practice Telephone | 6622317878 |
| Mailing Telephone | 6622317878 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 17870 | MS | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 00024936 | AL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 17870 | MS | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 17870 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 51556046 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15155 Highway 43, Russellville, AL 356531975 | 6626769646 |
| Street Address |
1701 VETERANS DR |
| City | FLORENCE |
| State | AL |
| Zip Code | 35630-4928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558337212 | Florence Pathology Services LLC | Clinical Medical Laboratory | 1701 Veterans Dr, Florence, AL 35630-4928 | 2006-02-23 |
| 1902413982 | Justin Kyle Barber | Nurse Anesthetist, Certified Registered | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-09-24 |
| 1114530821 | Sangeetha Poongunam Isaac | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-08-24 |
| 1245843960 | Mohammed Afraz Pasha | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-08-24 |
| 1255944914 | Sucheta Kundu | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-08-24 |
| 1063023679 | Demilade Adeayo Soji-ayoade | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-08-17 |
| 1710597380 | Sumit Goyat | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-08-07 |
| 1194335349 | Manjyot Bajwa | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-08-03 |
| 1134737729 | Allison Rogers | Nurse Practitioner | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-07-20 |
| 1437775400 | Eileen Ibeth Montalvan Fernandez | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
| 1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
| 1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
| 1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
| 1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
| 1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
| 1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
| 1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
| 1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
| 1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
| Find all providers in zip 35630 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164046991 | Open Hands Nursing Telehealth Care LLC | Family Medicine | 1951 Pisgah Rd Rm 104, Florence, SC 29501-6705 | 2020-06-08 |
| 1326672361 | Mcleod Physician Associates II | Family Medicine | 800 E Cheves St Ste 240, Florence, SC 29506-2652 | 2020-02-28 |
| 1356988984 | Family Medicine and Mohr | Family Medicine | 1505a Heritage Ln, Florence, SC 29505-3141 | 2019-12-02 |
| 1841756731 | Sonya Whatley | Family Medicine | 3091 Highway 49 S Ste F, Florence, MS 39073-9446 | 2019-02-15 |
| 1922589704 | Mekesha Shaw | Family Medicine | 1196 Waxwing Dr Unit A, Florence, SC 29505-3846 | 2018-08-28 |
| 1043797723 | Richard Sloan Moon | Family Medicine | 202 W Caskey, Florence, TX 76527 | 2018-07-25 |
| 1568902864 | Summit Medical Group Inc | Family Medicine | 8200 Dixie Hwy, Florence, KY 41042-3225 | 2017-03-06 |
| 1801292396 | Stacey Spence | Family Medicine | 3327 Stockton Dr, Florence, SC 29501-7361 | 2014-11-10 |
| 1063828135 | Kevon Mccarty | Family Medicine | 3235 N Hunt Hwy Ste 103, Florence, AZ 85132-6898 | 2014-07-09 |
| 1023447943 | Advantage Family Care Inc | Family Medicine | 202 Cox Creek Pkwy, Florence, AL 35630-1536 | 2013-11-02 |
| Find all providers in FLORENCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.