CRYSTAL L CLARK

LEXINGTON, KY
NPI1043582901
Former NameCRYSTAL L STEELE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  1108974)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: CT  103183)
367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  COA.14396-NA)
163W00000X Registered Nurse
(Licence: OH  RN.347094-COA1)
Enumeration Date2012-02-07
Last Update Date2016-06-06
Business Address
Mrs. CRYSTAL L CLARK APRN, CRNA
800 ROSE ST N202
LEXINGTON, KY 40536-0001
Phone number: 859-323-5956
Mailing Address
Mrs. CRYSTAL L CLARK APRN, CRNA
800 ROSE ST N202
LEXINGTON, KY 40536-0001
Phone number: 859-323-5956