Individual
DR. LARRY GEORGE CRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 3RD ST, SUITE 180, HENDERSON, KY 42420-2993
(270) 827-3573
(270) 827-1250
Mailing address
110 3RD ST, SUITE 180, HENDERSON, KY 42420-2993
(270) 827-3573
(270) 827-1250
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01041832A
IN
208000000X
Pediatrics Physician
Primary
20235
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64202351
—
KY
Enumeration date
01/02/2007
Last updated
07/09/2007
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