Provider Demographics
NPI:1568728780
Name:CROWELL, KRISTEN TIFFANY (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:TIFFANY
Last Name:CROWELL
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:500 UNIVERSITY DR
Mailing Address - Street 2:MC H159
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2360
Mailing Address - Country:US
Mailing Address - Phone:717-531-8557
Mailing Address - Fax:717-531-5393
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:MC H159
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:717-531-8557
Practice Address - Fax:717-531-5393
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT202129208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery