Crawford, Camille R

Crawford, Camille R is an individual health care provider with primary practice located at 10032 Demia Way , Florence KY 41042. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Crawford, Camille R can be contacted via phone (859) 647-6700.

Contact Information

Primary practice address
10032 Demia Way Florence KY 41042
Phone: (859) 647-6700
Fax: (859) 372-6362
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35051845 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39520 Kentucky

Profile Details

NPI number 1912967027
LBN Legal business name Crawford, Camille R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 2nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912967027 NPPES
Kentucky MEDICAID 64045115
Kentucky MEDICAID 0594441

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