Provider Demographics
NPI:1891109278
Name:CRABLE, KEVIN JAMES (DPM)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:JAMES
Last Name:CRABLE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 FIELDS DR
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421-2642
Mailing Address - Country:US
Mailing Address - Phone:315-361-2205
Mailing Address - Fax:315-363-1618
Practice Address - Street 1:125 FIELDS DR
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-2642
Practice Address - Country:US
Practice Address - Phone:315-361-2205
Practice Address - Fax:315-363-1618
Is Sole Proprietor?:No
Enumeration Date:2014-06-13
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNOO6866-1213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine