Individual provider · Type 1 NPI

Shakita Crenshaw

Driver · Kenbridge, VA

NPI number 1467978700 Active

Practice location

305 S Broad St
Kenbridge, VA 23944

Mailing address

PO Box 161
Kenbridge, VA 23944-0161

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1467978700

Shakita Crenshaw's National Provider Identifier is 1467978700, issued on Aug 18, 2017. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Kenbridge, VA. The record was last updated on Aug 18, 2017.