Rush, Kristel Wyn

Rush, Kristel Wyn is an individual health care provider with primary practice located at 1363 W Spruce Ave , Wasilla AK 99654-5327. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rush, Kristel Wyn can be contacted via phone (907) 376-2411.

Contact Information

Primary practice address
1363 W Spruce Ave Wasilla AK 99654-5327
Phone: (907) 376-2411
Fax: (907) 352-3301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38153 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AK4562 Alaska

Profile Details

NPI number 1164408126
LBN Legal business name Rush, Kristel Wyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Aug 22nd, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164408126 NPPES
Alaska Other MEDS4562 PROFESSIONAL LICENSE
Alaska MEDICAID 1013546 PROFESSIONAL LICENSE

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