Organization
KENNETH L CRUMP MD PC
Active
Other names
Lakeview Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH L CRUMP M.D. (CEO)
(801) 434-7600
Entity
Organization
Contact information
Practice address
811 N 900 W, OREM, UT 84057-7701
(801) 434-7600
(801) 434-7604
Mailing address
811 N. 900 W., OREM, UT 84057
(801) 434-7600
(801) 434-7604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
942752821205
UT
Other
Enumeration date
10/06/2006
Last updated
05/21/2021
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