Kenneth L Crutcher M.D.

NPI 1063473320 - Family Medicine - 207Q00000X

NPI Details
NPI 1063473320
Gender Male
Enumeration Date 03/28/2006
Last Updated 09/23/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
4303 LIVE OAK DR
LITTLE RIVER SC, 29566-9138, US
Phone (843) 663-8000
Fax (843) 280-2455
Business Location
4303 LIVE OAK DR
LITTLE RIVER SC, 29566-9138, US
Phone (843) 663-8000
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State North Carolina
License Number 29550
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According to our database, Dr. Kenneth L Crutcher M.D. NPI is 1063473320, taxonomy code is 207Q00000X and license number is 29550, license state is located at North Carolina. Kenneth L Crutcher M.D. physically located at 4303 Live Oak Dr, Little River SC, 29566-9138. NPI Number Kenneth L Crutcher M.D. has the Individual type.

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1063473320 NPI number is provided on an as is basis without warranty of any kind. 1063473320 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth L Crutcher M.D. are for informational purposes only.