| Doctor Name: | KRYSTON LEAH SALSMAN |
| NPI Number: | 1922498476 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | 98986 |
| Business Practice Address: | 325 S Washita St Wetumka, OK - 748835522 |
| Business Phone Number: | 4054521300 |
| Business Fax Number: | |
| Mailing Address: | 1305 N Oklahoma Ave, OKMULGEE |
| State: | OK |
| Postal Code: | 744477033 |
| Phone Number: | 9187594265 |
| Fax Number: | |
| NPI Enumeration Date: | 02/04/2015 |
| NPI Last Update Date: | 04/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 98986 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |