Lutz-Craver, Kendalyn

Lutz-Craver, Kendalyn is an sole proprietor health care provider with primary practice located at 101 Life Enrichment Blvd. , Shelby NC 28150-5368. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Lutz-Craver, Kendalyn can be contacted via phone (704) 482-5119.

Contact Information

Primary practice address
101 Life Enrichment Blvd. Shelby NC 28150-5368
Fax: (704) 669-2710
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7628 North Carolina

Profile Details

NPI number 1982875209
LBN Legal business name Lutz-Craver, Kendalyn
Credentials DDS,PA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2008
Last updated Oct 26th, 2009 - about 16 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 1982875209 NPPES
North Carolina MEDICAID 89902Y2

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