Individual
CRISTINA R CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1717 HIGH ST STE 3A, HOPKINSVILLE, KY 42240
(270) 885-8445
(270) 886-9106
Mailing address
1717 HIGH ST STE 3A, HOPKINSVILLE, KY 42240-6300
(270) 885-8445
(270) 956-0444
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28039
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440572
—
TN
Enumeration date
05/04/2006
Last updated
08/22/2019
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