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

Crystal McKiddy, PA

Individual provider Physician Assistant · NPI 1568732618

Crystal McKiddy, PA is a Physician Assistant in Corbin, Kentucky. Qualified in 2011, 15 years ago. Practices with Grace Community Health Center, Inc, a 65-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and Tennessee.

Years since qualifying
15
Licensed in
KY, TN
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

14662 N US Highway 25 E
Corbin, KY 40701-6425
Phone: (606) 526-9005
Fax: (606) 526-8606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19536 Alberta St, Oneida, TN 37841-3382 — (423) 569-3278

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA1887 (KY)
Physician Assistant Taxonomy 363A00000X · Licence 2075 (TN)

Record details

NPI number1568732618
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 6, 2012
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Grace Community Health Center, Inc. — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Corbin