Individual
MEGAN MARIE CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 GREENUP AVE, ASHLAND, KY 41101-7525
(800) 805-6989
Mailing address
2602 OAK HILL LN, ASHLAND, KY 41102-8715
(606) 254-6484
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2054540
KY
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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