Individual
CRYSTAL LYNETTE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7272 STATE ROUTE 945, MELBER, KY 42069-8768
(270) 564-8710
Mailing address
7272 STATE ROUTE 945, MELBER, KY 42069-8768
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3013144
KY
363LS0200X
School Nurse Practitioner
1102605
KY
Other
Enumeration date
01/28/2019
Last updated
04/19/2019
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