Jack Phil Krystyn Jr., RN
Registered Nurse, Emergency in Kinsey, AL. Individual provider (NPI-1).
NPI number1720161607
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720161607
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jack Phil Krystyn Jr.
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WE0003X | Registered Nurse, Emergency | 1-03341 | AL | Yes |
Practice location
184 Caravan LnKinsey, AL 36303-7694
Phone 334-678-8268
Mailing address
184 Caravan LnKinsey, AL 36303-7694
Phone 334-678-8268
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