Individual
WILLIAM J CRUMP JR.
Active
Individual
WILLIAM J CRUMP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
34461
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044260
BCBS PROVIDER NUMBER
—
01
—
34461
LICENSE
KY
05
—
649862868
—
KY
Enumeration date
09/15/2006
Last updated
12/03/2020
Update your record
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