# KRYSTAL KLEAR IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184320087
- **Authorized official:** KRYSTAL GWENN SILER RDMS, RVT, RDCS (CEO, OWNER)
- **Authorized official phone:** (740) 244-4132

## Contact information

- **Practice address:** 13420 REESE BLVD W, HUNTERSVILLE, NC 28078-7925
- **Practice address phone:** (980) 600-2229
- **Mailing address:** 13420 REESE BLVD W, HUNTERSVILLE, NC 28078-7925
- **Mailing address phone:** (980) 600-2229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2023
- **Last updated:** 08/24/2023