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Individual
CHESTER L CRUMP
Active
Individual
CHESTER L CRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25188
KY
207Q00000X
Family Medicine Physician
35052673C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000065370
ANTHEM BCBS
KY
01
—
080145712
RAILROAD MEDICARE
—
01
—
610755200
DOL
—
05
—
64251887
—
KY
Enumeration date
02/22/2006
Last updated
08/27/2020
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