Individual
KRYSTLE KVALHEIM MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
225 CANDLER DR STE 300, SAVANNAH, GA 31405-6091
(912) 354-6187
Mailing address
5400 SUTLIVE ST, SAVANNAH, GA 31405-4721
(912) 354-6187
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN215848
GA
363LF0000X
Family Nurse Practitioner
Primary
RN215848
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003192231B
—
GA
01
—
RN215848
GA RN LICENSE
GA
Enumeration date
06/05/2017
Last updated
09/13/2019
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