Individual
KATHRYN CONNELLY CRUMBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11 FALCON CREST LN, CLYDE, NC 28721-6620
(828) 565-0560
Mailing address
11 FALCON CREST LN, CLYDE, NC 28721-6620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11532
NC
Other
Enumeration date
03/21/2018
Last updated
06/14/2024
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