Provider Demographics
NPI:1174896609
Name:CRICK AND FIFE, LLP
Entity type:Organization
Organization Name:CRICK AND FIFE, LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD,FAAP
Authorized Official - Phone:270-827-3573
Mailing Address - Street 1:110 3RD ST STE 180
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42420-5808
Mailing Address - Country:US
Mailing Address - Phone:270-827-3573
Mailing Address - Fax:270-827-1250
Practice Address - Street 1:110 3RD ST STE 180
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-5808
Practice Address - Country:US
Practice Address - Phone:270-827-3573
Practice Address - Fax:270-827-1250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty