1. Home
  2. Directory
  3. Missouri
  4. Kirksville
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

PORTER CRANDELL
NPI 1043072564
Student in an Organized Health Care Education/Training Program in Kirksville, MO

Active since January 29, 2024
800 W JEFFERSON ST, KIRKSVILLE, MO 63501(928) 207-5621 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Porter Crandell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTER CRANDELL (NPI 1043072564) is an individual student in an organized health care education/training program in Kirksville, Missouri and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1043072564
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePORTER CRANDELL
Location Address800 W JEFFERSON STKirksville, MO 63501-1443
Mailing Address1056 Snowy Rock Ridge DrShow Low, AZ 85901-2915 · (928) 207-5621
Phone(928) 207-5621
Sole ProprietorNo
Enumeration DateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1043072564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
800 W JEFFERSON ST, Kirksville, MO 63501
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER WIREMAN DO
Psychiatry & Neurology (Psychiatry)
800 W JEFFERSON ST
KIRKSVILLE, MO 63501
Adair County (660) 626-2643
CHRISTIAN RUTHERFORD
Student in an Organized Health Care Education/Training Program
800 W JEFFERSON ST
KIRKSVILLE, MO 63501
Adair County (660) 626-2121
LEAH BLASKOWSKI
Student in an Organized Health Care Education/Training Program
800 W JEFFERSON ST
KIRKSVILLE, MO 63501
Adair County (660) 626-2121
KARA J HARKER
Student in an Organized Health Care Education/Training Program
800 W JEFFERSON ST
KIRKSVILLE, MO 63501
Adair County (573) 201-7657
JAY DEE ROSS III
Student in an Organized Health Care Education/Training Program
800 W JEFFERSON ST
KIRKSVILLE, MO 63501
Adair County (660) 626-2121
CARTER HOLTON
Student in an Organized Health Care Education/Training Program
800 W JEFFERSON ST
KIRKSVILLE, MO 63501
Adair County (660) 626-2121
CHARLES ZHANG
Student in an Organized Health Care Education/Training Program
800 W JEFFERSON ST
KIRKSVILLE, MO 63501
Adair County (206) 612-2356
CHELSEY STULL D.O.
Neuromusculoskeletal Medicine & OMM
800 W JEFFERSON ST
KIRKSVILLE, MO 63501
Adair County (515) 783-5895

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Porter Crandell's NPI number?

The NPI number for Porter Crandell is 1043072564. It was assigned to this individual provider in the NPPES registry on January 29, 2024.

Where is Porter Crandell located?

Porter Crandell practices at 800 W Jefferson St, Kirksville, MO 63501. The listed phone number is (928) 207-5621.

What is Porter Crandell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Porter Crandell was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.