Kelley, Crystal Sue
Kelley, Crystal Sue is an individual health care provider with primary practice located at 4881 Sugar Maple Dr , Dayton OH 45433-5529. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Informatics, which is considered as her primary health care specialty. Kelley, Crystal Sue can be contacted via phone (937) 522-2813.Contact Information
Primary practice address
4881 Sugar Maple Dr
Dayton OH 45433-5529
Phone: (937) 522-2813
Fax: (937) 656-1265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Informatics | 364SI0800X | RN254302 | Ohio |
Profile Details
| NPI number | 1194561126 |
|---|---|
| LBN Legal business name | Kelley, Crystal Sue |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2024 |
| Last updated | Jul 9th, 2024 - about 4 months 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.
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