Crystal Coffee
NPI #1457165300 in Scottsville, Kentucky
Provider Information
- NPI Number
- 1457165300
- Entity Type
- Individual
- Name
- Crystal Coffee
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Feb 3, 2025
- Last Updated
- Feb 3, 2025
Practice Location
- Address
- 49 HILLVIEW DR
- City
- Scottsville
- State
- Kentucky
- ZIP Code
- 42164-9309
- Phone
- (270) 901-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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