Kenneth L Crutcher in Little River - Family Medicine
Kenneth L Crutcher - NPI 1063473320
Kenneth L Crutcher is a Family Medicine in Little River, South Carolina. Kenneth L Crutcher practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth L Crutcher is 1063473320. The last update date is 2013-09-23.
Kenneth L Crutcher's current location address is 4303 Live Oak Dr, Little River, South Carolina. You can contact this provider via phone number 8436638000. The mailing address for Kenneth L Crutcher is 4303 Live Oak Dr, Little River, South Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth L Crutcher |
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Address | 4303 Live Oak Dr, Little River, South Carolina |
Phone Number | 8436638000 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1063473320 |
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Provider Enumeration Date | 2006-03-28 |
Last Updated Date | 2013-09-23 |
Provider Mailing Address Detail
Address | 4303 Live Oak Dr |
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City | Little River |
State | South Carolina (SC) |
Post Code | 295669138 |
Phone Number | 8436638000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 29550 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
8926422 | NC | -- | |
26422 | NC | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Kenneth L Crutcher by the Centers for Medicare & Medicaid Services?
The Kenneth L Crutcher has been issued the NPI (National Provider Identifier) 1063473320. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kenneth L Crutcher?
The Kenneth L Crutcher is situated at 4303 Live Oak Dr, in the city of Little River, state of SC, with the zip code 295669138.
What is Kenneth L Crutcher's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth L Crutcher's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063473320 to Kenneth L Crutcher?
The Centers for Medicare & Medicaid Services originally issued the 1063473320 to Kenneth L Crutcher on 2006-03-28.
When was the information related to Kenneth L Crutcher most recently updated or refreshed?
The details pertaining to the Kenneth L Crutcher, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-09-23.