Organization
RICHARD H. CROUCH, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN J PAGE CMA (AAMA) (OFFICE MANAGER)
(270) 759-4099
Entity
Organization
Contact information
Practice address
300 S 8TH ST STE 301E, MURRAY, KY 42071-2403
(270) 759-4099
(270) 767-3626
Mailing address
300 S 8TH ST STE 301E, MURRAY, KY 42071-2403
(270) 759-4099
(270) 767-3626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19518
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64195183
—
KY
01
—
78903705
MEDICAID NURSE PRACTITION
KY
01
—
8463
MEDICARE GROUP NUMBER
KY
Enumeration date
03/27/2008
Last updated
03/27/2008
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