Most Relevant Information
Provider Data
| NPI Number: | 1003463324 |
| Provider Name: | KRYSTAL LYNN RACHAL CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | 95944 |
Most Important Dates
| Enumeration Date: | 08/21/2019 |
| Last Updated: | 01/17/2023 |
Provider Practice Location
5901 W MEMORIAL RD
OKLAHOMA CITY
OK
731422015
Practice Location Phone/Fax
| Phone: | 6159886335 |
| Fax: |
Provider Mailing Location
5700 NW 135TH ST STE 200
OKLAHOMA CITY
OK
731425940
Provider Mailing Phone/Fax
| Phone: | 4055481777 |
| Fax: |