Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Crystal Kucuk Macomb, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881121655

Crystal Kucuk Macomb, DO is a Student in an Organized Health Care Education/Training Program in Allentown, Pennsylvania. Works from 4 locations. Licensed in Pennsylvania, Tennessee and Virginia.

Licensed in
PA, TN, VA
In the registry since
2017
Specialties on file
4
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Allentown, PA

No coordinates on file. Search this address in Google Maps

Additional practice locations (3)

  • 501 W 14th St, Wilmington, DE 19801-1013 — (302) 733-1000
  • 650 Joel Dr, Fort Campbell, KY 42223-5318 — (270) 798-8400
  • 3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715 — (703) 391-2020

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence OS025775 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 0102206099 (VA)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 4621 (TN)

Record details

NPI number1881121655
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESSeptember 4, 2026
Certification dateSeptember 4, 2026

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