Provider Demographics
NPI:1790101160
Name:CRANE, ALICE LANGFORD (MD PHD)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:LANGFORD
Last Name:CRANE
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2340 E MEYER BLVD STE 646
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-1110
Mailing Address - Country:US
Mailing Address - Phone:816-822-8257
Mailing Address - Fax:
Practice Address - Street 1:2340 E MEYER BLVD STE 646
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1110
Practice Address - Country:US
Practice Address - Phone:816-822-8257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-10
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022033345208800000X, 204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty