Craft, Kenneth Lee

Craft, Kenneth Lee is an sole proprietor health care provider with primary practice located at 150 Country Estates Cir Ste 111 , Reno NV 89511-4017. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Continuing Education/Staff Development, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Craft, Kenneth Lee can be contacted via phone (775) 400-6617.

Contact Information

Primary practice address
150 Country Estates Cir Ste 111 Reno NV 89511-4017
Phone: (775) 400-6617
Fax: (775) 418-6100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 726633 California
Nursing Service Providers / Continuing Education/Staff Development 163WC1600X 726633 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22618 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 001840 Nevada

Profile Details

NPI number 1245575315
LBN Legal business name Craft, Kenneth Lee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2012
Last updated Jun 26th, 2024 - about 2 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 1245575315 NPPES
Nevada MEDICAID 100539957

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