Individual
MRS. SONIA N CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
170 N EAGLE CREEK DR STE 104, LEXINGTON, KY 40509-9087
(859) 967-5848
(859) 967-5473
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(859) 967-5473
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA041
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101086820
—
KY
Enumeration date
10/19/2006
Last updated
05/04/2026
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