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Individual

CRUFF RENARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 301-8074
(859) 301-4945
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-8074
(859) 301-4945

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45931
KY
208M00000X
Hospitalist Physician
Primary
45931
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201159190
IN
05
7100271850
KY
Enumeration date
08/02/2011
Last updated
04/19/2022
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