Kirby, Cristal Chanel
Kirby, Cristal Chanel is an individual health care provider with primary practice located at 164 Country Club Cir Ste B , Minden LA 71055-7502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kirby, Cristal Chanel can be contacted via phone (318) 639-9422.Contact Information
Primary practice address
164 Country Club Cir Ste B
Minden LA 71055-7502
Phone: (318) 639-9422
Fax: (318) 639-9423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 204591 | Louisiana |
Profile Details
| NPI number | 1558529297 |
|---|---|
| LBN Legal business name | Kirby, Cristal Chanel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2008 |
| Last updated | Feb 28th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558529297 | NPPES |
| Louisiana | MEDICAID | 2155717 |
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