Prewitt, Crystal

Prewitt, Crystal is an individual health care provider with primary practice located at 140 Bryan Blvd , Corbin KY 40701-2775. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Prewitt, Crystal can be contacted via phone (606) 523-2005.

Contact Information

Primary practice address
140 Bryan Blvd Corbin KY 40701-2775
Phone: (606) 523-2005
Fax: (606) 523-9704
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3005650 Kentucky

Profile Details

NPI number 1588813083
LBN Legal business name Prewitt, Crystal
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2008
Last updated Nov 7th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588813083 NPPES
Kentucky MEDICAID 7100061250
Kentucky Other 000000601702

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