Provider Demographics
NPI:1962662122
Name:CROWE, KATY E (MD)
Entity type:Individual
Prefix:
First Name:KATY
Middle Name:E
Last Name:CROWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3105 LIMESTONE RD STE 301
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-2179
Mailing Address - Country:US
Mailing Address - Phone:302-230-4965
Mailing Address - Fax:302-998-3226
Practice Address - Street 1:3105 LIMESTONE RD STE 301
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-2179
Practice Address - Country:US
Practice Address - Phone:302-230-4965
Practice Address - Fax:302-998-3226
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0008842207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine