Provider Demographics
NPI:1972291615
Name:CROWLEY, KEVIN TAFT (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:TAFT
Last Name:CROWLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:III MARINE EXPEDITIONARY FORCE SURGEON
Mailing Address - Street 2:UNIT 35605
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96382
Mailing Address - Country:US
Mailing Address - Phone:508-280-2030
Mailing Address - Fax:
Practice Address - Street 1:8901 ROCKVILLE PIKE BLDG 19
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-319-2466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA282N00000X207P00000X
2865M2000X
MD17202925012865M2000X
VA0101283948208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2865M2000XHospitalsMilitary HospitalMilitary General Acute Care Hospital