Individual
JEFFREY TANNER CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
161 LEXINGTON GREEN CIR STE B15, LEXINGTON, KY 40503-3379
(719) 487-3170
Mailing address
508 FRANKLIN CT, ASHLAND, KY 41101-2152
(606) 923-6208
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
268716
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100782640
—
KY
Enumeration date
04/27/2021
Last updated
11/30/2022
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