Provider Demographics
NPI:1477632099
Name:CROWELL, KAREN WEBB (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:WEBB
Last Name:CROWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 242664
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-0029
Mailing Address - Country:US
Mailing Address - Phone:501-975-1915
Mailing Address - Fax:501-975-1917
Practice Address - Street 1:13100 CHENAL PKWY
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-5214
Practice Address - Country:US
Practice Address - Phone:501-975-1915
Practice Address - Fax:501-975-1917
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARR4387207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR123494001Medicaid
F31383Medicare UPIN
AR123494001Medicaid