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Contact Information

KEVIN W CRAIG, MD
3217 S PROVIDENCE RD
COLUMBIA, MO65203-3639
 Phone: 573-884-7733
 Fax: 573-884-5559
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KEVIN W CRAIG · (Male)

NPI # 1720046881
Status Active
Credentials MD
Entity Individual
Enumeration date 05/01/2006
Last updated 04/10/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2000160622
  • SC License # 31239
  • MO Medicaid 205839905
  • MO Other 157694 BLUE CHOICE
  • MO Other 157694 BLUE SHIELD
  • MO Other 480629 HEALTHLINK
  • MO Other 103684 UNITED HEALTHCARE
  • SC Other AA37587730 MEDICARE
Hospital affiliation(s)
  • UNIVERSITY OF MISSOURI HEALTH CARE - (Acute Care)
    ONE HOSPITAL DRIVE, ROOM CE121, DC031,00
    COLUMBIA, MO 65212
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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