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Contact Information

CRYSTAL L MITCHELL
7272 STATE ROUTE 945
MELBER, KY42069-8768
 Phone: 270-564-8710
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

School

363LS0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CRYSTAL L MITCHELL · (Female)

NPI # 1053875724
Status Active
Credentials
Entity Individual
Enumeration date 01/28/2019
Last updated 04/19/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 1102605
  • KY License # 3013144
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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