Crandell, Kristy Lynn
Crandell, Kristy Lynn is an sole proprietor health care provider with primary practice located at 214 Hospital Rd , Red Bay AL 35582-3861. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Crandell, Kristy Lynn can be contacted via phone (256) 356-5609.Contact Information
Primary practice address
214 Hospital Rd
Red Bay AL 35582-3861
Phone: (256) 356-5609
Fax: (256) 356-5611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 19103 | Mississippi |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23116 | Alabama |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19103 | Mississippi |
Profile Details
| NPI number | 1578500146 |
|---|---|
| LBN Legal business name | Crandell, Kristy Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Apr 1st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578500146 | NPPES |
| Mississippi | MEDICAID | 00124582 | |
| Mississippi | Other | 51502500 | |
| Mississippi | MEDICAID | 009957670 |
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