Individual
MRS. CRYSTAL SUE BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 IRVIN COBB DR, PADUCAH, KY 42003-0337
(270) 444-7824
(270) 444-9052
Mailing address
3220 IRVIN COBB DR, PADUCAH, KY 42003-2196
(270) 444-7824
(270) 444-9052
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
109912
KY
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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