Individual
CRYSTAL NARCISSE
Active
Individual
CRYSTAL NARCISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45208
KY
208000000X
Pediatrics Physician
45208
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100131100
—
KY
01
—
K059330
MEDICARE PTAN
KY
Enumeration date
06/05/2008
Last updated
11/01/2019
Update your record
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