Packer, Kraig Lynn

Packer, Kraig Lynn is an individual health care provider with primary practice located at 3339 Cherokee Ln , Provo UT 84604-4866. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Packer, Kraig Lynn can be contacted via phone (801) 803-0877.

Contact Information

Primary practice address
3339 Cherokee Ln Provo UT 84604-4866
Phone: (801) 803-0877
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 261539-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 115014 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 261539-4405 Utah

Profile Details

NPI number 1518959535
LBN Legal business name Packer, Kraig Lynn
Credentials NPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Sep 9th, 2021 - about 5 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 1518959535 NPPES
Colorado MEDICAID 50634879

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