Provider Demographics
NPI:1013633114
Name:CROPF, KAYLEIGH GRACE
Entity Type:Individual
Prefix:
First Name:KAYLEIGH
Middle Name:GRACE
Last Name:CROPF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:WORMLEYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17043-1312
Mailing Address - Country:US
Mailing Address - Phone:610-248-4192
Mailing Address - Fax:
Practice Address - Street 1:3913 HARTZDALE DR STE 1306
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-7845
Practice Address - Country:US
Practice Address - Phone:717-695-9082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP453824183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist