# MS. CRYSTAL A MCKINNISS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366802027
- **Gender:** F
- **Credential:** LPN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | RN.507286 | OH | Yes |
| 167G00000X | Licensed Psychiatric Technician | PN.122329-M-IV | OH | — |

## Other

- **Enumeration date:** 02/24/2016
- **Last updated:** 05/17/2022