# CRYSTAL C. MENSER

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

## Provider details

- **NPI number:** 1861686495
- **Gender:** F
- **Credential:** CSA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246ZS0410X | Surgical Technologist | SA167 | KY | Yes |

## Other

- **Enumeration date:** 08/27/2007
- **Last updated:** 08/06/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000530711 | ANTHEM PIN \# | KY |
| 01 | — | 3031 | SURGICAL ASSIST ASSOC \# | — |
| 01 | — | SA167 | SURGICAL ASSISTANT - KY BD OF MEDICAL LIC \# | KY |