Kathy Diann Craft

Individual provider Active NPI Other Technician · Big Stone Gap, VA

NPI 1992829014 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992829014
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
622 Powell Ave
Developmental Service
Big Stone Gap, VA 24219
Phone
(276) 523-0682
Fax
(276) 523-0684
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

622 Powell Ave
Developmental Service
Big Stone Gap, VA 24219

Mailing address

PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600

Other providers in Big Stone Gap, VA

All providers in Big Stone Gap, VA · Other Technician in Virginia

Sources for this page

Verify at the official NPI Registry.