Crosby, Kenneth Lee
Crosby, Kenneth Lee is an individual health care provider with primary practice located at 1901 Tate Springs Rd , Lynchburg VA 24501-1109. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Crosby, Kenneth Lee can be contacted via phone (434) 200-5047.Contact Information
Primary practice address
1901 Tate Springs Rd
Lynchburg VA 24501-1109
Phone: (434) 200-5047
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 200101032 | North Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101271324 | Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 85214 | South Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 200101032 | North Carolina |
Profile Details
| NPI number | 1013018159 |
|---|---|
| LBN Legal business name | Crosby, Kenneth Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Apr 17th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013018159 | NPPES |
| North Carolina | MEDICAID | 1013018159 | |
| North Carolina | Other | NC6987H |
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