Robert Crum

Individual provider Active NPI Day Training/Habilitation Specialist · Salyersville, KY

NPI 1992906572 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992906572
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
525 Dotson Branch Rd
Salyersville, KY 41465-9440
Phone
(606) 349-6136
Fax
(606) 349-7576
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X Yes

Addresses

Primary practice location

525 Dotson Branch Rd
Salyersville, KY 41465-9440

Mailing address

104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572

Other providers in Salyersville, KY

All providers in Salyersville, KY · Day Training/Habilitation Specialist in Kentucky

Sources for this page

Verify at the official NPI Registry.