Rush, Kristel Wyn
Rush, Kristel Wyn is an individual health care provider with primary practice located at 1363 W Spruce Ave , Wasilla AK 99654-5327. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rush, Kristel Wyn can be contacted via phone (907) 376-2411.Contact Information
Primary practice address
1363 W Spruce Ave
Wasilla AK 99654-5327
Phone: (907) 376-2411
Fax: (907) 352-3301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 38153 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | AK4562 | Alaska |
Profile Details
| NPI number | 1164408126 |
|---|---|
| LBN Legal business name | Rush, Kristel Wyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Aug 22nd, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164408126 | NPPES |
| Alaska | Other | MEDS4562 | PROFESSIONAL LICENSE |
| Alaska | MEDICAID | 1013546 | PROFESSIONAL LICENSE |
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