Individual
JOHN P CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 659-5865
(270) 659-5854
Mailing address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 659-5865
(270) 659-5854
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34314
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64036940
—
KY
Enumeration date
02/15/2007
Last updated
03/01/2023
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