Donna M Crouch
Individual provider Active NPI Driver · Paducah, KY
NPI 1962374488 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1962374488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 5034 (KY)
- Practice address
- 780 Krebs Station Rd
Paducah, KY 42003-3596 - Phone
- (270) 994-7496
- Fax
- (812) 370-3089
- NPI assigned
- Sep 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5034 | KY | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver |
172A00000X | 5034 | KY | Yes |
Addresses
Primary practice location
780 Krebs Station Rd
Paducah, KY 42003-3596
Mailing address
PO Box 604
Paducah, KY 42002-0604
Phone (270) 994-7496
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.