# KENNETH L CRUMP MD PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeview Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053408450
- **Authorized official:** DR. KENNETH L CRUMP M.D. (CEO)
- **Authorized official phone:** (801) 434-7600

## Contact information

- **Practice address:** 811 N 900 W, OREM, UT 84057-7701
- **Practice address phone:** (801) 434-7600
- **Practice address fax:** (801) 434-7604
- **Mailing address:** 811 N. 900 W., OREM, UT 84057
- **Mailing address phone:** (801) 434-7600
- **Mailing address fax:** (801) 434-7604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 942752821205 | UT | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 05/21/2021