Individual
DANIEL B CRUMP
Active
Individual
DANIEL B CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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