Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Kucuk Macomb, DO

Individual provider Family Medicine Physician · NPI 1881121655

Crystal Kucuk Macomb, DO is a Family Medicine Physician in Fort Campbell, Kentucky. Works from 3 locations. Licensed in Tennessee and Virginia.

Licensed in
TN, VA
In the registry since
2017
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 501 W 14th St, Wilmington, DE 19801-1013 — (302) 733-1000
  • 3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715 — (703) 391-2020

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 4621 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0102206099 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1881121655
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESSeptember 16, 2022
Certification dateSeptember 16, 2022
Mailing address650 Joel Dr, Fort Campbell, KY 42223-5318

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