Individual
KYLE C CRAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-4044
Mailing address
45 YERXA RD UNIT 102, CAMBRIDGE, MA 02140-2528
(508) 439-2539
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
055.0031409
VT
363AS0400X
Surgical Physician Assistant
PA6052
MA
Other
Enumeration date
03/01/2017
Last updated
12/19/2018
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