Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRYSTAL KUCUK MACOMB, DO
ActiveCRYSTAL KUCUK MACOMB, DO is a Sports Medicine healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1881121655 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · FORT CAMPBELL, KY
Registration Details
- NPI Number
- 1881121655
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2017 (9.2175493667634 yrs)
- Last Updated
- Sep 16, 2022
- Licenses
-
0102206099 (VA)4621 (TN)
Practice Information
- Address
-
650 JOEL DRFORT CAMPBELL, KY, 422235318Browse KY providers · Browse ZIP 42223
- Phone
- 2707988400
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.