Individual
ANN W CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 13TH ST, ASHLAND, KY 41101
(606) 329-0204
(606) 324-7770
Mailing address
700 13TH ST, ASHLAND, KY 41101
(606) 329-0204
(606) 324-7770
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30254
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000062597
ANTHEM BC
KY
05
—
0110240000
—
WV
01
—
12-03043
UNITED HEALTH CARE
KY
05
—
25721579
—
OH
01
—
336109752062213
BC SUPER BLUE PLUS
KY
01
—
6109752062213
BC PPO
KY
05
—
64302540
—
KY
01
—
65917544
GROUP KY MEDICAID ID
KY
Enumeration date
10/03/2006
Last updated
07/09/2007
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