Ivory, Krystal

Ivory, Krystal is an individual health care provider with primary practice located at 3309 S Kingshighway Blvd , Saint Louis MO 63139-1101. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Ivory, Krystal can be contacted via phone (314) 443-5539.

Contact Information

Primary practice address
3309 S Kingshighway Blvd Saint Louis MO 63139-1101
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1801653357
LBN Legal business name Ivory, Krystal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2024
Last updated Jun 24th, 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.

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