DR. KENNETH L CRUTCHER M.D.
NPI 1063473320
Family Medicine in Little River, SC

Q: What is Kenneth Crutcher's NPI number?

The NPI number for Kenneth Crutcher is 1063473320. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Q: What is Kenneth Crutcher's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Crutcher was last updated on September 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2006

4303 LIVE OAK DR, LITTLE RIVER, SC 29566(843) 663-8000(843) 280-2455 Get Directions Write a Review

NPPES record last updated: September 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kenneth L Crutcher M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH L CRUTCHER M.D. (NPI 1063473320) is an individual family medicine provider in Little River, South Carolina, licensed in South Carolina (MMD33307) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1063473320

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KENNETH L CRUTCHERCredential: M.D.

Location Address4303 LIVE OAK DRLittle River, SC 29566-9138

Mailing Address4303 Live Oak DrLittle River, SC 29566-9138 · (843) 663-8000

Phone(843) 663-8000

Fax(843) 280-2455

Sole ProprietorNo

Enumeration DateMarch 28, 2006

Last NPPES UpdateSeptember 23, 2013

✔ NPI 1063473320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in SC · MMD33307✔ Licensed in NC · 29550

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4303 LIVE OAK DR, Little River, SC 29566

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Other Identifiers 5

Medicare UPINC83411NC

Other26422NC · Bcbs

Medicaid8926422NC

Medicare PIN205685N

Medicare PINP00301454

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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