Provider Demographics
NPI:1073330171
Name:CRABTREE, KELSIE (LPN)
Entity type:Individual
Prefix:
First Name:KELSIE
Middle Name:
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:KELSIE
Other - Middle Name:
Other - Last Name:SCARBERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1722 WALDO DR
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-1136
Mailing Address - Country:US
Mailing Address - Phone:740-442-2223
Mailing Address - Fax:
Practice Address - Street 1:1722 WALDO DR
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-1136
Practice Address - Country:US
Practice Address - Phone:740-442-2223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-21
Last Update Date:2024-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH190457164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse