Cravener, Kristine Kaiser

Cravener, Kristine Kaiser is an sole proprietor health care provider with primary practice located at 1095 Beckman Dr , South Daytona FL 32119-2499. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Cravener, Kristine Kaiser can be contacted via phone (386) 566-0444.

Contact Information

Primary practice address
1095 Beckman Dr South Daytona FL 32119-2499
Phone: (386) 566-0444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Florida

Profile Details

NPI number 1063020188
LBN Legal business name Cravener, Kristine Kaiser
Credentials BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2020
Last updated Jul 14th, 2020 - about 5 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 1063020188 NPPES
Florida MEDICAID 104283300

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