Craye, Cornelis Kirk

Craye, Cornelis Kirk is an individual health care provider with primary practice located at 1111 S Jefferson St Ste B , Roanoke VA 24016-4724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Craye, Cornelis Kirk can be contacted via phone (540) 345-3556.

Contact Information

Primary practice address
1111 S Jefferson St Ste B Roanoke VA 24016-4724
Phone: (540) 345-3556
Fax: (540) 342-2193
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.09333 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101237947 Virginia

Profile Details

NPI number 1083680508
LBN Legal business name Craye, Cornelis Kirk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Sep 20th, 2022 - about 4 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 1083680508 NPPES
Ohio MEDICAID 2999377

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