Krystal R Still, LPN
Individual provider Active NPI Licensed Practical Nurse · Foster, KY
NPI 1972856730 · NPPES record last updated Oct 17, 2012
Key facts
- NPI
- 1972856730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 117779 (OH)
- Practice address
- 3385 Snag Creek Rd
Foster, KY 41043-9116 - Phone
- (606) 782-1807
- NPI assigned
- Oct 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2030996 | KY | MD | Licensed Practical Nurse |
| 117779 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 117779 | OH | Yes |
| Licensed Practical Nurse | 164W00000X | 2030996 | KY |
Addresses
Primary practice location
3385 Snag Creek Rd
Foster, KY 41043-9116
Mailing address
3385 Snag Creek Rd
Foster, KY 41043-9116
Phone (606) 782-1807
Other providers in Foster, KY
All providers in Foster, KY · Licensed Practical Nurse in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.