# KENNETH CRAFT - A NURSING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770444218
- **Authorized official:** MR. KENNETH L CRAFT APRN (OWNER)
- **Authorized official phone:** (775) 400-6617

## Contact information

- **Practice address:** 6716 MADISON AVE \# 1, FAIR OAKS, CA 95628-3151
- **Practice address phone:** (775) 400-6617
- **Practice address fax:** (775) 418-6100
- **Mailing address:** 6483 WATT AVE UNIT 144, NORTH HIGHLANDS, CA 95660-2005
- **Mailing address phone:** (775) 400-6617
- **Mailing address fax:** (775) 418-6100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/24/2025
- **Last updated:** 10/12/2026