Craft, Kelsey Diane

Craft, Kelsey Diane is an sole proprietor health care provider with primary practice located at 24850 S Tamiami Trl Ste 4 , Bonita Springs FL 34134-7010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Craft, Kelsey Diane can be contacted via phone (239) 319-2200.

Contact Information

Primary practice address
24850 S Tamiami Trl Ste 4 Bonita Springs FL 34134-7010
Phone: (239) 319-2200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9110854 Florida

Profile Details

NPI number 1073013249
LBN Legal business name Craft, Kelsey Diane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2018
Last updated Feb 14th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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