Search › Missouri › 152W00000X
Kenneth Crutchfield, O.D
NPI 1093916223 · on the registry since 2007 · sole proprietor
Practice
- Address
- 310 Kent St
Jefferson City, MO 65109 - Phone
- (573) 659-7363
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
152W00000X - Licence states on file
- MO, VA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri