Individual
JOSHUA REED CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
50 WEDDINGTON BRANCH RD STE C, PIKEVILLE, KY 41501-3296
(606) 437-2401
(606) 437-2401
Mailing address
PO BOX 4150, PIKEVILLE, KY 41502-4150
(606) 437-2400
(606) 437-2401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
03117
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65941494
—
KY
01
—
7200028000
WV MEDICAID
WV
01
—
DC0133
RR MEDICARE
KY
Enumeration date
05/12/2008
Last updated
09/01/2021
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