Mckiddy, Crystal

Mckiddy, Crystal is an individual health care provider with primary practice located at 14662 N Us Highway 25 E , Corbin KY 40701-6425. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Mckiddy, Crystal can be contacted via phone (606) 526-9005.

Contact Information

Primary practice address
14662 N Us Highway 25 E Corbin KY 40701-6425
Phone: (606) 526-9005
Fax: (606) 526-8606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2075 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1887 Kentucky

Profile Details

NPI number 1568732618
LBN Legal business name Mckiddy, Crystal
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2012
Last updated Mar 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568732618 NPPES
Tennessee MEDICAID 1527317

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