CRYSTAL DALE

LEXINGTON, KY
NPI1548576937
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3006490)
Enumeration Date2010-08-24
Last Update Date2015-01-23
Business Address
-- CRYSTAL DALE APRN
740 S LIMESTONE ST
LEXINGTON, KY 40536-0284
Phone number: 859-323-8082
Mailing Address
-- CRYSTAL DALE APRN
740 S LIMESTOME E101
LEXINGTON, KY 40536-0284
Phone number: 859-323-8082