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Contact Information

KYLE C CRAVEN
111 COLCHESTER AVE
BURLINGTON, VT05401-1473
 Phone: 802-847-4044
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KYLE C CRAVEN · (Male)

NPI # 1760922454
Status Active
Credentials
Entity Individual
Enumeration date 03/01/2017
Last updated 12/19/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MA License # PA6052
  • VT License # 055.0031409
Hospital affiliation(s)
  • FLETCHER ALLEN HOSPITAL OF VERMONT - (Acute Care)
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
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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