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Individual

MRS. CARRIE CRUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
202 BEVINS LN, GEORGETOWN, KY 40324-6178
(859) 323-9333
(502) 570-5063
Mailing address
202 BEVINS LN, GEORGETOWN, KY 40324-6178
(859) 323-9333
(502) 570-5063

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
18615
SC
363LF0000X
Family Nurse Practitioner
Primary
3008127
KY

Other

Enumeration date
07/09/2013
Last updated
08/18/2015
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