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Individual

BRADY KENT CRAFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
350 N COX ST STE 28, ASHEBORO, NC 27203-5514
(336) 629-6500
(336) 629-9500
Mailing address
341 N PEACE HAVEN RD, WINSTON SALEM, NC 27104-2536

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
363A00000X
Physician Assistant
Primary
0010-13930
NC
363A00000X
Physician Assistant
AL

Other

Enumeration date
09/01/2017
Last updated
03/07/2024
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