Organization
STONECREST FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD E CREQUE JR. MD (OWNER)
(502) 633-5565
Entity
Organization
Contact information
Practice address
101 STONECREST ROAD, SUITE 3, SHELBYVILLE, KY 40065
(502) 633-5565
(502) 633-5154
Mailing address
101 STONECREST ROAD, SUITE 3, SHELBYVILLE, KY 40065
(502) 633-5565
(502) 633-5154
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
36516
KY
Other
Enumeration date
05/12/2006
Last updated
08/20/2014
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