Individual
MR. WENDELL CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
126 SERENITY LN, OLIVE HILL, KY 41164-6445
(443) 243-3738
Mailing address
126 SERENITY LN, OLIVE HILL, KY 41164-6445
(443) 243-3738
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001162813
VA
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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