Kelly, Crystal

Kelly, Crystal is an sole proprietor health care provider with primary practice located at 903 Northeast Dr Suite 301, Davidson NC 28036-7416. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kelly, Crystal can be contacted via phone (704) 894-9309.

Contact Information

Primary practice address
903 Northeast Dr Suite 301 Davidson NC 28036-7416
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200588 North Carolina

Profile Details

NPI number 1699152025
LBN Legal business name Kelly, Crystal
Credentials RN, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2015
Last updated May 6th, 2015 - about 9 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.

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