Dr. Crystal Dawn Seluk
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
105 W Stone Dr Ste 4d
Kingsport
, Tennessee 37660-3365
Dr. Crystal Dawn Seluk
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
105 W Stone Dr Ste 4d
Kingsport
, Tennessee 37660-3365
(423) 857-2066
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Crystal Dawn Seluk
- Po Box 9
- Kingsport, TN
- Zip : 37662-0009
- Phone : (423) 857-2066
Second Address
- Dr. Crystal Dawn Seluk
- 105 W Stone Dr Ste 4d
- Kingsport, TN
- Zip : 37660-3365
- Phone : (423) 392-6299
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 4167 | IA |
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 804 | NE |
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | DO3225 | TN |
| N | 207YS0123X | Facial Plastic Surgeon | 5101016973 | MI |
National Provider Identifier
| NPI | 1568689420 |
|---|---|
| Provider Name | Dr. Crystal Dawn Seluk |
| First Address | Kingsport, TN 37662-0009 |
| Second Address | Kingsport, TN 37660-3365 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2007 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10025795400 | (05) | NE |
| 1568689420 | (05) | IA |
| 47068731799 | (05) | NE |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.