Provider Demographics
NPI:1639336019
Name:CRITCHFIELD, AGATHA S (MD)
Entity Type:Individual
Prefix:
First Name:AGATHA
Middle Name:S
Last Name:CRITCHFIELD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5200 COMMERCE CROSSINGS DR FL 3
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-2182
Mailing Address - Country:US
Mailing Address - Phone:502-253-4900
Mailing Address - Fax:502-489-5751
Practice Address - Street 1:3900 KRESGE WAY STE 46
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4681
Practice Address - Country:US
Practice Address - Phone:502-897-8245
Practice Address - Fax:502-259-5983
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2020-12-03
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Provider Licenses
StateLicense IDTaxonomies
RILP00848207V00000X
KY46439207VM0101X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology