Individual
DANIEL B CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 ROSE ST # MS 119, LEXINGTON, KY 40536-2701
(859) 257-1446
(859) 257-7572
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4000
(859) 258-4796
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
34874
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
34874
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
7100022670
—
KY
01
—
CB5773
RR MEDICARE GROUP NUMBER
KY
01
—
P00422199
RR MEDICARE NUMBER
KY
Enumeration date
08/24/2005
Last updated
02/20/2019
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