Craig, Kevin L

Craig, Kevin L is an individual health care provider with primary practice located at 1011 Sylvan Ave #C, Modesto CA 95350-1692. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Craig, Kevin L can be contacted via phone (209) 550-4780.

Contact Information

Primary practice address
1011 Sylvan Ave #C Modesto CA 95350-1692
Phone: (209) 550-4780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G80509 California

Profile Details

NPI number 1912089061
LBN Legal business name Craig, Kevin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated May 28th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912089061 NPPES
California MEDICAID 00G805090

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