Individual
KELLY CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1411 S COLLEGEVILLE RD, COLLEGEVILLE, PA 19426-2957
(484) 902-1893
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006272
MD
Other
Enumeration date
11/16/2016
Last updated
03/24/2021
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