Criswell, Kassandra Pearl

Criswell, Kassandra Pearl is an individual health care provider with primary practice located at 225 Medical Center Dr Ste 203 , Paducah KY 42003-7907. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Criswell, Kassandra Pearl can be contacted via phone (270) 415-6100.

Contact Information

Primary practice address
225 Medical Center Dr Ste 203 Paducah KY 42003-7907
Phone: (270) 415-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 3015708 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3015708 Kentucky

Profile Details

NPI number 1952991242
LBN Legal business name Criswell, Kassandra Pearl
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2021
Last updated Jan 18th, 2024 - about last year

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.

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