NPI 1467978700

Shakita Crenshaw

Practitioner Driver Kenbridge, VA

Practice location

Address: 305 S Broad St, Kenbridge, VA 23944
Phone: (434) 774-1703
Mailing address: PO Box 161, Kenbridge, VA 23944-0161

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1467978700
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2017
Record last updated: 18 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.