Individual provider · Type 1 NPI

Kenyatta Crawford

Prosthetic/Orthotic Supplier · Chicago, IL

NPI number 1881369692 Active

Practice location

3149 W 15th St Apt 2
Chicago, IL 60623-2200

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	None listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1881369692

Kenyatta Crawford's National Provider Identifier is 1881369692, issued on Aug 12, 2021. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 13, 2021.