Individual
DR. JOHN EVAN CRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W MAIN ST, LOUISVILLE, KY 40202-2946
(502) 580-4005
(502) 580-1995
Mailing address
1448 SAINT JAMES CT, LOUISVILLE, KY 40208-2127
(502) 802-8508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24857
KY
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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