Individual
BETHANY CRISPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1010 MAIN ST S, MC KEE, KY 40447-7089
(606) 287-7104
(606) 287-4409
Mailing address
1010 MAIN ST S, MC KEE, KY 40447-7089
(606) 287-7104
(606) 287-4409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42913
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100051210
—
KY
Enumeration date
08/09/2007
Last updated
01/15/2025
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