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CRYSTAL SHUANDALE KILLIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1875 REMOUNT RD, GASTONIA, NC 28054-7413
(704) 874-0600
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 730-7003

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5011122
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5011122
NC
363LG0600X
Gerontology Nurse Practitioner
5011122
NC
363LP2300X
Primary Care Nurse Practitioner
5011122
NC

Other

Enumeration date
10/17/2018
Last updated
02/10/2026
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