Individual
MR. KENNETH RAY CRABTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY 42167
(270) 487-9231
(270) 487-5784
Mailing address
PO BOX 98, GAMALIEL, KY 42140
(270) 457-3911
(270) 457-3911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13828
KY
Other
Enumeration date
10/28/2006
Last updated
07/08/2007
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