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Contact Information

HARVEY R CRADDOCK, SURGICAL ASSISTANT
258 CORVIN LN
ELIZABETHTOWN, KY42701-5771
 Phone: 270-317-4827
 Fax: 270-234-8558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
Indicates primary specialty

NPI Profile & details for HARVEY R CRADDOCK · (Male)

NPI # 1902822844
Status Active
Credentials SURGICAL ASSISTANT
Entity Individual
Enumeration date 07/14/2006
Last updated 02/07/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # SA011
Hospital affiliation(s) Not Available
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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