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Contact Information

CRYSTAL H MCMAHAN, MD
4003 KRESGE WAY
STE 115
LOUISVILLE, KY40207-4652
 Phone: 502-897-8163
 Fax: 502-897-8052
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for CRYSTAL H MCMAHAN · (Female)

NPI # 1396969200
Status Active
Credentials MD
Entity Individual
Enumeration date 04/12/2007
Last updated 12/09/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 42203
  • KY Medicaid 7100059430
  • KY Other 000000651185 ANTHEM
  • KY Other 50027952 PASSPORT
Hospital affiliation(s)
  • BAPTIST HOSPITAL EAST - (Acute Care)
    4000 KRESGE WAY
    LOUISVILLE, KY 40207
  • BAPTIST HOSPITAL NORTHEAST - (Acute Care)
    1025 NEW MOODY LANE
    LA GRANGE, KY 40031
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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