Craft, Kenneth Lee
Craft, Kenneth Lee is an sole proprietor health care provider with primary practice located at 150 Country Estates Cir Ste 111 , Reno NV 89511-4017. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Continuing Education/Staff Development, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Craft, Kenneth Lee can be contacted via phone (775) 400-6617.Contact Information
Primary practice address
150 Country Estates Cir Ste 111
Reno NV 89511-4017
Phone: (775) 400-6617
Fax: (775) 418-6100
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 726633 | California |
Nursing Service Providers / Continuing Education/Staff Development | 163WC1600X | 726633 | California |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 22618 | California |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 001840 | Nevada |
Profile Details
NPI number | 1245575315 |
---|---|
LBN Legal business name | Craft, Kenneth Lee |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 30th, 2012 |
Last updated | Jun 26th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245575315 | NPPES |
Nevada | MEDICAID | 100539957 |
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