person
Mrs. Crystal Smith, PA
Medical Physician Assistant in Manchester, Kentucky
NPI 1356389514

Crystal Smith is a Medical Physician Assistant based in Manchester, KY and is specialized in Medical. Crystal Smith practices in Manchester, KY and has the professional credentials of PA. The NPI Number for Crystal Smith is 1356389514 and holds a License No. PA792 (Kentucky).

The current practice location address for Crystal Smith is 509 Memorial Dr, Manchester, KY and can be reached out via phone at 606-598-8813 and via fax at 606-598-1688.

Location: 509 Memorial Dr, Manchester, KY, 40962-6196
person
Provider Profile Details
NPI Number
1356389514
Provider Name
Crystal Smith
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
509 Memorial Dr, Manchester, KY, 40962-6196
Phone Number
606-598-8813
Fax Number
606-598-1688
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95003737 05 KY
P00648835 01 RR MEDICARE
000000522080 01 KY ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
509 Memorial Dr
City
State
Zip
40962-6195
Phone Number
606-598-8813
Fax Number
606-598-1688
person
Provider Business Mailing Address Details
Address
509 Memorial Dr
City
State
Zip
40962-6195
Phone Number
606-598-8813
Fax Number
606-598-1688
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA792 (Kentucky)
Definition
Definition to come...
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