| Kevin M Crawley, RDN | |
|
1315 Hospital Dr, St Johnsbury, VT 05819-9210 | |
| (802) 748-8141 | |
| (802) 748-4098 |
| Full Name | Kevin M Crawley |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 Rachel Pinard-sisle, 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 |