Craddock, Kyoung

Craddock, Kyoung is an individual health care provider with primary practice located at 5722 65Th St Ne , Marysville WA 98270. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Craddock, Kyoung can be contacted via phone (253) 590-6817.

Contact Information

Primary practice address
5722 65Th St Ne Marysville WA 98270
Phone: (253) 590-6817
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN60221376 Washington

Profile Details

NPI number 1497103162
LBN Legal business name Craddock, Kyoung
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2016
Last updated Jun 2nd, 2016 - about 10 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 1497103162 NPPES
Washington Other 163W00000X NURSING SERVICE PROVIDERS, REGISTERED NURSE (NURSE DELEGATION)

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