NPI 1992004329
Kristal Samuel
Practice location
- Address
- 1321 McMillan Ave, Brewton, AL 36426-1324
- Phone
- (251) 867-3242
- Fax
- (251) 867-7151
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1992004329
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Mar 2011
- Record last updated
- 24 Mar 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.