Cragun, Timothy Kent

Cragun, Timothy Kent is an individual health care provider with primary practice located at 4700 Las Vegas Blvd N , Nellis Afb NV 89191-6600. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Cragun, Timothy Kent can be contacted via phone (702) 348-3245.

Contact Information

Primary practice address
4700 Las Vegas Blvd N Nellis Afb NV 89191-6600
Phone: (702) 348-3245
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01054132A Indiana
Allopathic & Osteopathic Physicians / Dermatology 207N00000X H0063845 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01054132A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X H0063845 Maryland
Allopathic & Osteopathic Physicians / Dermatology 207N00000X DO1722 Nevada

Profile Details

NPI number 1760419881
LBN Legal business name Cragun, Timothy Kent
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Nov 6th, 2019 - about 7 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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