Individual provider · NPI-1

Kevin L Craney, DPM

· Chesapeake, VA

NPI number1265051619
StatusActive
Last updated in NPPESAug 1, 2023

Details

NPI
1265051619
Entity type
Individual (NPI-1)
Name
Kevin L Craney
Credential
DPM
Sex
Male
Sole proprietor
No
Enumeration date
Apr 15, 2020
Certification date
Aug 1, 2023
Last updated
Aug 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0131X 0103301407VAYes
213E00000X Podiatrist0103301407VA
213EP1101X Podiatrist, Primary Podiatric Medicine0103301407VA
213ES0103X Podiatrist, Foot & Ankle Surgery0103301407VA

Practice location

369 Johnstown Rd
Chesapeake, VA 23322-5309

Phone 757-547-0123 · Fax 757-547-2412

Mailing address

369 Johnstown Rd
Chesapeake, VA 23322-5309

Phone 757-547-0123 · Fax 757-547-2412

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