Mr Jack Phil Krystyn Jr, RN is a
Registered Nurse - Emergency based in Kinsey, Alabama. Mr Jack Phil Krystyn Jr is licensed to practice in Alabama (license number 1-03341) and his current practice location is
184 Caravan Ln, Kinsey, Alabama. He can be reached at his office (for appointments etc.) via phone at
(334) 678-8268.
NPI number for Mr Jack Phil Krystyn Jr is 1720161607 and his current mailing address is 184 Caravan Ln, Kinsey, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720161607.
Provider's Profile
Full Name | Mr Jack Phil Krystyn Jr |
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Gender | Male |
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Speciality | Registered Nurse - Emergency |
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Location | 184 Caravan Ln, Kinsey, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720161607
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Jack Phil Krystyn Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720161607 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WE0003X | Registered Nurse - Emergency | 1-03341 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jack Phil Krystyn Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jack Phil Krystyn Jr, RN 184 Caravan Ln, Kinsey, AL 36303-7694 Ph: (334) 678-8268 | Mr Jack Phil Krystyn Jr, RN 184 Caravan Ln, Kinsey, AL 36303-7694 Ph: (334) 678-8268 |
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