Most Relevant Information
Provider Data
| NPI Number: | 1003200759 |
| Provider Name: | CRYSTAL JOYCE DAVIS BS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/20/2015 |
| Last Updated: | 03/20/2015 |
Provider Practice Location
1203 AMERICAN GREETING CARD RD
CORBIN
KY
407014811
Practice Location Phone/Fax
| Phone: | 6065287010 |
| Fax: |
Provider Mailing Location
PO BOX 568
CORBIN
KY
407020568
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |