Scott, Crystal

Scott, Crystal is an sole proprietor health care provider with primary practice located at 95 Bryan Blvd Suite 202, Corbin KY 40701-2788. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Scott, Crystal can be contacted via phone (606) 523-3021.

Contact Information

Primary practice address
95 Bryan Blvd Suite 202 Corbin KY 40701-2788
Phone: (606) 523-3021
Fax: (606) 523-3040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1822 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1822 Kentucky

Profile Details

NPI number 1518309756
LBN Legal business name Scott, Crystal
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2013
Last updated Mar 27th, 2015 - about 10 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 1518309756 NPPES
Kentucky MEDICAID 7100294880

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