Crouch, Renita L.

Crouch, Renita L. is an individual health care provider with primary practice located at 227 Falcon Dr # 101 , Mt Sterling KY 40353-9792. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Crouch, Renita L. can be contacted via phone (859) 497-5135.

Contact Information

Primary practice address
227 Falcon Dr # 101 Mt Sterling KY 40353-9792
Phone: (859) 497-5135
Fax: (859) 497-5140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA096 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA096 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA096 Kentucky

Profile Details

NPI number 1437243938
LBN Legal business name Crouch, Renita L.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jan 30th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437243938 NPPES
Kentucky MEDICAID 95002556
Kentucky Other 37903705
Kentucky Other 4000501
Kentucky Other 970025767
Kentucky Other CB5773

Popular Providers