Individual
KENNETH CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-6565
Mailing address
7777 HENNESSY BLVD STE 301, BATON ROUGE, LA 70808-0319
(225) 214-6438
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
218400
LA
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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