Craig, Kevin W

Craig, Kevin W is an individual health care provider with primary practice located at 3217 S Providence Rd , Columbia MO 65203-3639. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Craig, Kevin W can be contacted via phone (573) 884-7733.

Contact Information

Primary practice address
3217 S Providence Rd Columbia MO 65203-3639
Phone: (573) 884-7733
Fax: (573) 884-5559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 2000160622 Missouri
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 31239 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2000160622 Missouri

Profile Details

NPI number 1720046881
LBN Legal business name Craig, Kevin W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Apr 10th, 2024 - about 7 months 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 1720046881 NPPES
Missouri Other 103684 UNITED HEALTHCARE
Missouri Other 157694 UNITED HEALTHCARE
Missouri MEDICAID 205839905 UNITED HEALTHCARE
Missouri Other 480629 UNITED HEALTHCARE
Missouri Other AA37587730 UNITED HEALTHCARE
Missouri Other 157694 UNITED HEALTHCARE

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