Crystal Mckiddy P.A

NPI 1568732618 - Physician Assistant - 363A00000X

NPI Details
NPI 1568732618
Gender Female
Enumeration Date 01/06/2012
Last Updated 10/14/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
475 N HIGHWAY 25 W
SUITE 100
WILLIAMSBURG KY, 40769-1576, US
Phone (606) 549-2933
Fax (606) 549-3036
Business Location
475 N HIGHWAY 25 W
SUITE 100
WILLIAMSBURG KY, 40769-1576, US
Phone (606) 549-2930
Fax (606) 549-3036
Toxanomy
Taxonomy Code 363A00000X
License State Tennessee
License Number 2075
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According to our database, Crystal Mckiddy P.A NPI is 1568732618, taxonomy code is 363A00000X and license number is 2075, license state is located at Tennessee. Crystal Mckiddy P.A physically located at 475 N Highway 25 W, Williamsburg KY, 40769-1576. NPI Number Crystal Mckiddy P.A has the Individual type.

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1568732618 NPI number is provided on an as is basis without warranty of any kind. 1568732618 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal Mckiddy P.A are for informational purposes only.