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Individual

RUSSELL P CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
1401 HARRODSBURG RD, LEXINGTON, KY 40504-3751
(859) 276-4429
(859) 276-5919
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 330-7825

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009111
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100372510
KY
Enumeration date
01/13/2015
Last updated
04/08/2025
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