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Individual

KATHRYN LOUISE CRUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M,D,

Contact information

Practice address
2745 REBECCA LN, ORANGE CITY, FL 32763-8333
(386) 775-2012
(386) 775-2013
Mailing address
2745 REBECCA LN, ORANGE CITY, FL 32763-8333
(386) 775-2012
(386) 775-2013

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME134212
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
24303600
FL
Enumeration date
03/22/2011
Last updated
02/21/2021
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