Individual
ERIN CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 HAPPY VALLEY RD, GLASGOW, KY 42141-8076
(270) 678-5250
Mailing address
2345 HAPPY VALLEY RD, GLASGOW, KY 42141-8076
(270) 678-5250
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
111849
KY
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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