Branham, Crystal L

Branham, Crystal L is an sole proprietor health care provider with primary practice located at 112 East Street , Elkhorn City KY 41522. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Branham, Crystal L can be contacted via phone (606) 788-9259.

Contact Information

Primary practice address
112 East Street Elkhorn City KY 41522
Phone: (606) 788-9259
Fax: (606) 788-9307
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3007228 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007228 Kentucky

Profile Details

NPI number 1417224239
LBN Legal business name Branham, Crystal L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2011
Last updated Jun 26th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417224239 NPPES
Kentucky Other 3007228 KENTUCKY APRN LICENSURE
Kentucky MEDICAID 7100196230 KENTUCKY APRN LICENSURE
Kentucky Other 2011013543 KENTUCKY APRN LICENSURE

Popular Providers