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Individual

KENNETH LYLE CRUMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
811 N 900 W, OREM, UT 84057-7701
(801) 434-7600
(801) 434-7604
Mailing address
811 N 900 W, OREM, UT 84057-7701
(801) 434-7600
(801) 434-7604

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
275282-1205
UT

Other

Enumeration date
07/27/2006
Last updated
04/04/2016
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