Individual
MS. MARY BETH CRABTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
197 WILL WALKER RD, COLUMBIA, KY 42728-7436
(270) 384-9981
(270) 384-9989
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1582
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13578821
CAQH
—
05
—
7100149200
—
KY
Enumeration date
10/15/2010
Last updated
10/12/2023
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