Crystal Smith is a Medical in Manchester, Kentucky. Crystal Smith practices all healthcare services and medical treatments related to Medical. The NPI Number for Crystal Smith is 1356389514. The last update date is 2020-01-21.
Crystal Smith's current location address is 509 Memorial Dr, Manchester, Kentucky. You can contact this provider via phone number 6065988813 and fax number 6065981688. The mailing address for Crystal Smith is 509 Memorial Dr, Manchester, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal Smith |
|---|---|
| Address | 509 Memorial Dr, Manchester, Kentucky |
| Phone Number | 6065988813 |
| Fax Number | 6065981688 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1356389514 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2020-01-21 |
Provider Mailing Address Detail
| Address | 509 Memorial Dr |
|---|---|
| City | Manchester |
| State | Kentucky (KY) |
| Post Code | 409626196 |
| Phone Number | 6065988813 |
| Fax Number | 6065981688 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA792 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 95003737 | KY | -- | |
| P00648835 | RR MEDICARE | ||
| 522080 | KY | ANTHEM BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Crystal Smith by the Centers for Medicare & Medicaid Services?
The Crystal Smith has been assigned the NPI (National Provider Identifier) 1356389514 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Crystal Smith is physically located?
The Crystal Smith is situated at the following address: 509 Memorial Dr, Manchester, KY 409626196.
What is Crystal Smith's area of expertise and its corresponding taxonomy classification?
The Crystal Smith's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1356389514 assigned to Crystal Smith?
The Crystal Smith was issued its 1356389514 on 2006-06-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Crystal Smith's details last updated?
The information pertaining to the Crystal Smith, including its address, specialty, and other details, was most recently updated on 2020-01-21.