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Organization

CRICK & FIFE, L.L.P.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY GEORGE CRICK M.D. (OWNER)
(270) 827-3573
Entity
Organization

Contact information

Practice address
110 3RD ST STE 180, HENDERSON, KY 42420-5808
(270) 827-3573
Mailing address
110 3RD ST STE 180, HENDERSON, KY 42420-5808
(270) 827-3573

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20235
KY
208000000X
Pediatrics Physician
22605
KY
208000000X
Pediatrics Physician
3094P
KY
208000000X
Pediatrics Physician
35996
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64020860
KY
05
64202351
KY
05
64226053
KY
05
65913394
KY
Enumeration date
03/31/2007
Last updated
04/16/2010
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