Individual
REBECCA B KRAFTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 HARRODSBURG RD, LEXINGTON, KY 40504-3751
(859) 276-4429
(859) 276-5919
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA459
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000478148
ANTHEM
KY
05
—
3710089
—
TN
01
—
50010910
PASSPORT
KY
05
—
95004594
—
KY
01
—
C60223
CUMBERLAND HEALTHCARE INC
KY
Enumeration date
06/13/2006
Last updated
04/08/2025
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