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Individual

DR. DIANE L. CRUTCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
200 E CHESTNUT ST BLDG SUITE303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
133 MYRTLE DR, BRANDENBURG, KY 40108-5427
(270) 668-4186

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011168
KY

Other

Enumeration date
03/27/2017
Last updated
02/01/2018
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