Craycraft, Holly

Craycraft, Holly is an individual health care provider with primary practice located at 125 Foxglove Dr Ste B , Mt Sterling KY 40353-9735. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Craycraft, Holly can be contacted via phone (859) 520-9292.

Contact Information

Primary practice address
125 Foxglove Dr Ste B Mt Sterling KY 40353-9735
Fax: (859) 520-9004
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4016703 Kentucky

Profile Details

NPI number 1790543247
LBN Legal business name Craycraft, Holly
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2024
Last updated Oct 2nd, 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 1790543247 NPPES
Kentucky MEDICAID 7100965230

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