Individual
PAIGE A CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
301 PROFESSIONAL PARK DR, GLASGOW, KY 42141-3487
(270) 651-9696
(270) 651-0385
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
246328
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14427260
CAQH
—
01
—
246328
KY LICENSURE
KY
Enumeration date
03/25/2019
Last updated
07/03/2023
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