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Individual

MRS. LINDA M CRUMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1717 HIGH ST, SUITE 1A, HOPKINSVILLE, KY 42240-6300
(270) 885-0570
(270) 885-0573
Mailing address
1717 HIGH ST, SUITE 1A, HOPKINSVILLE, KY 42240-6300
(270) 885-0570
(270) 885-0573

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003131
KY
363LA2200X
Adult Health Nurse Practitioner
1073349
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000315837
ANTHEM
KY
05
65941031
KY
05
78006533
KY
Enumeration date
07/14/2005
Last updated
01/21/2019
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