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Organization
CROSSCARE PLLC
Active
Organization
CROSSCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY G CROSS MD (OWNER)
(606) 387-3000
Entity
Organization
Contact information
Practice address
250 BURKESVILLE RD, ALBANY, KY 42602-1604
(606) 387-3000
(606) 387-3307
Mailing address
PO BOX 456, ALBANY, KY 42602-0456
(606) 387-3000
(606) 387-3307
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
KY
207Q00000X
Family Medicine Physician
Primary
—
KY
208600000X
Surgery Physician
33185
KY
363LF0000X
Family Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K183220
MEDICATE GROUP PTAN
KY
Enumeration date
05/09/2014
Last updated
10/28/2016
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