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Individual
DR. KENNY CASEY CRUMP JR.
Active
Individual
DR. KENNY CASEY CRUMP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
282526
NY
207Q00000X
Family Medicine Physician
MD00043418
WA
207Q00000X
Family Medicine Physician
Primary
U1485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290660
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8389298
—
WA
Enumeration date
10/13/2006
Last updated
05/06/2024
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