Individual
DONNA M CROUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 KREBS STATION RD, PADUCAH, KY 42003-3596
(270) 994-7496
(812) 370-3089
Mailing address
PO BOX 604, PADUCAH, KY 42002-0604
(270) 994-7496
(812) 370-3098
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
5034
KY
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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