Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacob Keith Crittenden III, MD

Individual provider Plastic Surgery Physician · NPI 1376931105

Dr. Jacob Keith Crittenden III, MD is a Plastic Surgery Physician in Cincinnati, Ohio. Practices as a sole proprietor. Licensed in Florida, Kentucky and Ohio.

Licensed in
FL, KY, OH
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

621 Tusculum Ave
Cincinnati, OH 45226-1771
Phone: (702) 232-2336
Fax: (702) 646-3243
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Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 35.043691 (OH)
Plastic Surgery Physician Taxonomy 208200000X · Licence 16223 (KY)
Plastic Surgery Physician Taxonomy 208200000X · Licence ME 86453 (FL)

Record details

NPI number1376931105
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 1, 2015
Last updated in NPPESJanuary 1, 2015

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