Individual
CRYSTAL KAY ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13201 E MAPLE GROVE RD, MOUNT HOPE, KS 67108-9008
(316) 259-0801
(316) 444-2217
Mailing address
727 N WACO AVE STE 165, WICHITA, KS 67203-3987
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
473338739
HOME HEALTH CARE SERVICES
KS
Enumeration date
08/01/2019
Last updated
08/01/2019
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