Mckinniss, Crystal A

Mckinniss, Crystal A is an individual health care provider with primary practice located at 601 S Edwin C Moses Blvd Samaritan Behavioral Health Inc.,, Dayton OH 45417-3424. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Licensed Psychiatric Technician. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Mckinniss, Crystal A can be contacted via phone (937) 734-8333.

Contact Information

Primary practice address
601 S Edwin C Moses Blvd Samaritan Behavioral Health Inc., Dayton OH 45417-3424
Phone: (937) 734-8333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN.507286 Ohio
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PN.122329-M-IV Ohio

Profile Details

NPI number 1366802027
LBN Legal business name Mckinniss, Crystal A
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2016
Last updated May 17th, 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.

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