Individual
RANDALL CRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 S MAIN CROSS ST, SUITE 202, LOUISA, KY 41230-1065
(606) 638-0938
Mailing address
PO BOX 726, LOUISA, KY 41230-0726
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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