NPI 1609696160 · live from the CMS NPI Registry
Kenneth Patrick Craig, RN
Registered Nurse, General Practice in Phoenix, AZ. National Provider Identifier 1609696160, active.
NPI record
| NPI | 1609696160 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 1049 E Colter St, Phoenix, AZ 85014 |
| Practice phone | 928-284-8276 |
| Enumerated | October 10, 2024 |
| Last updated | October 10, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | 278658 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.