Individual
RICHARD TODD CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1760 NICHOLASVILLE RD, STE 603, LEXINGTON, KY 40503-1471
(859) 277-3636
(859) 277-7575
Mailing address
1760 NICHOLASVILLE RD, STE 603, LEXINGTON, KY 40503-1471
(859) 277-2211
(859) 277-7575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA258
KY
363AM0700X
Medical Physician Assistant
Primary
PA 258
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95001822
—
KY
Enumeration date
06/01/2005
Last updated
12/03/2020
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