Crawford, Jacky Lynn
Crawford, Jacky Lynn is an individual health care provider with primary practice located at 1221 S Broadway , Lexington KY 40504-2701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Crawford, Jacky Lynn can be contacted via phone (859) 258-4000.Contact Information
Primary practice address
1221 S Broadway
Lexington KY 40504-2701
Phone: (859) 258-4000
Fax: (859) 258-6203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 35808 | Kentucky |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35808 | Kentucky |
Profile Details
| NPI number | 1316986433 |
|---|---|
| LBN Legal business name | Crawford, Jacky Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Apr 25th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316986433 | NPPES |
| Kentucky | Other | 000000184103 | BLUE CROSS BLUE SHIELD |
| Kentucky | MEDICAID | 64016884 | BLUE CROSS BLUE SHIELD |
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