Individual provider · Type 1 NPI

Jack Phil Krystyn Jr., RN

Emergency Registered Nurse · Kinsey, AL

NPI number 1720161607 Active

Practice location

184 Caravan Ln
Kinsey, AL 36303-7694

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X1-03341 (AL)

Emergency Registered Nurse: Definition to come...

About NPI 1720161607

Jack Phil Krystyn Jr., RN's National Provider Identifier is 1720161607, issued on Oct 23, 2006. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Kinsey, AL. The record was last updated on Jul 8, 2007.