Individual
CORNELIS KIRK CRAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 S JEFFERSON ST STE B, ROANOKE, VA 24016-4724
(540) 345-3556
(540) 342-2193
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101237947
VA
207R00000X
Internal Medicine Physician
35.09333
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2999377
—
OH
Enumeration date
02/24/2006
Last updated
09/20/2022
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