Individual
MRS. LISA C CRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
735 NORTH DR, HOPKNISVILLE, KY 42240
(270) 886-5163
Mailing address
227 RONEY DR, HOPKINSVILLE, KY 42240-1535
(270) 885-3647
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1077294
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1077294
KENTUCKY BOARD OF NURSING
KY
Enumeration date
07/17/2009
Last updated
07/17/2009
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