Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRYSTAL LYNN PENLEY, LDO
Active Sole ProprietorKRYSTAL LYNN PENLEY, LDO is a Optician, Dispensing healthcare provider located in PORTAL, Georgia. NPI 1932771219 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · PORTAL, GA
Registration Details
- NPI Number
- 1932771219
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2021 (5.0653167472097 yrs)
- Last Updated
- Jul 15, 2021
- License
-
2341 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
346 N GRADY STREETPORTAL, GA, 30450Browse GA providers · Browse ZIP 30450
- Phone
- 9125369451
- Primary Specialty
-
Optician, Dispensing
156FX1800X
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.