Individual
MRS. CRYSTAL YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
56 MARIE LANGDON DR, MANCHESTER, KY 40962-6329
(606) 599-4080
(606) 598-1688
Mailing address
509 MEMORIAL DR, STE 2, MANCHESTER, KY 40962-6196
(606) 598-8813
(606) 598-1688
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA792
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000522080
ANTHEM BCBS
KY
05
—
95003737
—
KY
01
—
P00648835
RR MEDICARE
—
Enumeration date
06/02/2006
Last updated
06/18/2025
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